Organization
SKILLS FOR CHANGE THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN PELLETIER LICSW (OWNER/SOCIAL WORKER)
(508) 493-8494
Entity
Organization
Contact information
Practice address
331 PAGE ST STE 3, STOUGHTON, MA 02072-1172
(508) 493-8494
Mailing address
120 BUTTERNUT RD, SOMERSET, MA 02726-1511
(508) 493-8494
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/19/2019
Last updated
09/19/2019
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