Organization
COUNSELING & ASSESSMENT CLINIC OF WORCESTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER J HYLTON PSY.D. (EXECUTIVE DIRECTOR)
(508) 756-5400
Entity
Organization
Contact information
Practice address
255 PARK AVE STE 412, WORCESTER, MA 01609-1989
(508) 756-5400
Mailing address
38 FRONT ST, 5TH FLOOR, WORCESTER, MA 01608-1732
(508) 756-5499
(508) 756-5433
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4CKZ
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1894196
—
MA
Enumeration date
06/06/2016
Last updated
12/18/2023
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