Organization
BLUE SQUARE COUNSELING AND WELLNESS CENTER, PLLC
Active
Other names
Bay State Counseling and Wellness Center, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
GINA AGUAYO PHD (OWNER)
(978) 330-5105
Entity
Organization
Contact information
Practice address
294 CONCORD RD, BILLERICA, MA 01821-3482
(978) 330-5105
Mailing address
294 CONCORD RD, BILLERICA, MA 01821-3482
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
02/07/2014
Last updated
11/29/2023
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