Individual
COY PEMBERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
628 PLEASANT ST STE 422, NEW BEDFORD, MA 02740-6208
(508) 851-9245
Mailing address
628 PLEASANT ST STE 422, NEW BEDFORD, MA 02740-6208
(508) 851-9245
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11661
MA
Other
Enumeration date
05/17/2014
Last updated
12/22/2019
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