# PROFESSIONAL CONSULTING AND SUPERVISORY SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467768325
- **Authorized official:** VANESSA C BOWEN-NEWTON LMHC (OWNER)
- **Authorized official phone:** (617) 265-5064

## Contact information

- **Practice address:** 1485 DORCHESTER AVE, DORCHESTER, MA 02122-1301
- **Practice address phone:** (617) 265-5064
- **Practice address fax:** (617) 265-5179
- **Mailing address:** 1485 DORCHESTER AVE, DORCHESTER, MA 02122-1301
- **Mailing address phone:** (617) 265-5064
- **Mailing address fax:** (617) 265-5179

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 5478 | MA | Yes |

## Other

- **Enumeration date:** 08/28/2010
- **Last updated:** 08/28/2010