Organization
CHILD AND FAMILY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ANDRADE (CERTIFIED PEER SPECIALIST)
(508) 996-3154
Entity
Organization
Contact information
Practice address
543 NORTH ST, NEW BEDFORD, MA 02740-2782
(508) 996-3154
Mailing address
543 NORTH ST, NEW BEDFORD, MA 02740-2782
(508) 996-3154
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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