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Organization
HEART STONE COUNSELING SERVICES LLC
Active
Organization
HEART STONE COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JO-ANN VENEZIA PHILLIPS LICSW (CLINICAL SOCIAL WORKER)
(978) 304-9283
Entity
Organization
Contact information
Practice address
165 MAIN ST UNIT 205, MEDWAY, MA 02053-1584
(978) 304-9283
Mailing address
165 MAIN ST UNIT 205, MEDWAY, MA 02053-1584
(978) 304-9283
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116231
MASS DIVISION OF PROFESSIONAL LICENSURE BOARD OF SOCIAL WORK
MA
Enumeration date
09/27/2021
Last updated
09/27/2021
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