Organization
KETTLE COVE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK WILLWERTH M.ED., LADC-I (OWNER/COUNSELOR)
(617) 209-9330
Entity
Organization
Contact information
Practice address
8 THORNDIKE ST, BEVERLY, MA 01915-5858
(617) 209-9330
Mailing address
8 THORNDIKE ST, BEVERLY, MA 01915-5858
(617) 209-9330
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/28/2023
Last updated
12/23/2024
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