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Organization

PSYCHSERVICES, PC

Active
Other names
Leonard Morse Counseling Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANTHONY JACKSON (PRESIDENT)
(508) 647-0222
Entity
Organization

Contact information

Practice address
67 UNION ST, SUITE #205, NATICK, MA 01760-7700
(508) 647-0222
(508) 647-0333
Mailing address
67 UNION ST, SUITE #205, NATICK, MA 01760-7700
(508) 647-0222
(508) 647-0333

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
7600383
TUFTS HEALTH PLAN
MA
01
M13645
BLUE CROSS BLUE SHIELD MA
MA
Enumeration date
11/17/2006
Last updated
11/13/2008
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