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Organization
SOUTHCOAST EDUCATION & WELLNESS COUNSELING, LLC
Active
Organization
SOUTHCOAST EDUCATION & WELLNESS COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA A GRAY M.ED, LMHC (COUNSELOR)
(508) 538-1003
Entity
Organization
Contact information
Practice address
67 COUNTY RD, UNIT C, MATTAPOISETT, MA 02739-1638
(508) 538-1003
Mailing address
67 COUNTY RD, UNIT C, MATTAPOISETT, MA 02739-1638
(508) 538-1003
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8945
MA
Other
Enumeration date
03/17/2015
Last updated
03/17/2015
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