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Organization
KOUSA PSYCHOLOGICAL SERVICES LLC
Active
Organization
KOUSA PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YUQIAN TIAN LMHC (MANAGER/THERAPIST)
(617) 286-2526
Entity
Organization
Contact information
Practice address
1309 BEACON ST STE 300, BROOKLINE, MA 02446-5252
(617) 286-2526
Mailing address
1309 BEACON ST STE 300, BROOKLINE, MA 02446-5252
(617) 286-2526
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
103T00000X
Psychologist
—
—
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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