Organization
KUJICHAGULIA WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY COOPER (FOUNDER/CEO)
(617) 221-5024
Entity
Organization
Contact information
Practice address
484 BLUE HILL AVE, BOSTON, MA 02121-3238
(617) 221-5024
(781) 341-1378
Mailing address
484 BLUE HILL AVE APT 2, BOSTON, MA 02121-3238
(617) 221-5024
(617) 420-8108
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/24/2021
Last updated
03/07/2025
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