Organization
BLACKBIRD COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTINE CARLUCCI MS, LMFT (CO-OWNER)
(339) 235-5116
Entity
Organization
Contact information
Practice address
28 RIVERSIDE DR STE 270, PEMBROKE, MA 02359-4947
(774) 773-6300
Mailing address
28 RIVERSIDE DR STE 270, PEMBROKE, MA 02359-4947
(774) 773-6300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/30/2020
Last updated
01/25/2022
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