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Organization
NORTH STAR COUNSELING LLC
Active
Organization
NORTH STAR COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON GANTMAN LICSW (CHIEF OPERATING OFFICER)
(978) 465-5033
Entity
Organization
Contact information
Practice address
37 1/2 FORRESTER ST, PROFESSIONAL BUILDING, NEWBURYPORT, MA 01950-1938
(978) 465-5033
(978) 465-5034
Mailing address
PO BOX 276, NEWBURYPORT, MA 01950-0376
(978) 465-5033
(978) 465-5034
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1023367
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P10379
BCBSMA
MA
Enumeration date
08/15/2006
Last updated
08/22/2020
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