Individual
MR. JOHN N SCIRETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
217 CONCORD AVE, CAMBRIDGE, MA 02138-1334
(617) 526-6675
(617) 492-0538
Mailing address
PO BOX 552, NEW TOWN, MA 02456-0552
(617) 527-6675
(617) 492-0538
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
035038
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
403253
TUFTS
MA
01
—
P)4222
BLUE CROSS
MA
Enumeration date
06/18/2007
Last updated
07/08/2007
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