Organization
NORTHEAST COUNSELING ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT D WALLACE MSW, LICSW (OWNER/PSYCHOTHERAPIST)
(978) 804-4068
Entity
Organization
Contact information
Practice address
39 HAVERHILL ST, METHUEN, MA 01844-4203
(978) 804-4068
Mailing address
39 HAVERHILL ST, METHUEN, MA 01844-4203
(978) 804-4068
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
116999
MA
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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