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Organization
DIVERSE UNDERSTANDING MENTAL HEALTH COUNSELING LLC
Active
Organization
DIVERSE UNDERSTANDING MENTAL HEALTH COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALDO PAGAN JR. LMHC (MANAGING MEMBER)
(978) 476-9016
Entity
Organization
Contact information
Practice address
160 WINTHROP AVE UNIT 11, LAWRENCE, MA 01843-3840
(978) 476-9016
Mailing address
95 HARRISON ST, HAVERHILL, MA 01830-4807
(978) 476-9016
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
9504
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001207271
SECRETARY OF THE COMMONWEALTH
MA
Enumeration date
04/11/2016
Last updated
11/28/2023
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