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Organization
JUST A SPARK COUNSELING LLC
Active
Organization
JUST A SPARK COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZACHARY RAYMOND RICHARD LMHC (OWNER)
(508) 713-7930
Entity
Organization
Contact information
Practice address
319 SOUTHBRIDGE ST STE 100, AUBURN, MA 01501-2541
(508) 713-7930
Mailing address
500 SALISBURY ST, WORCESTER, MA 01609-1265
(774) 276-0709
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
10/26/2023
Last updated
01/01/2024
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