Organization
COUNSELING AND NUTRITION CENTER 360, LLC
Active
Other names
CNC360
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH MARIE PEARL MS, RD, LDN, CEDS (OWNER)
(781) 674-1189
Entity
Organization
Contact information
Practice address
33 BEDFORD ST, SUITE 20, LEXINGTON, MA 02420-4319
(781) 674-1189
(781) 863-2646
Mailing address
33 BEDFORD ST, SUITE 20, LEXINGTON, MA 02420-4319
(781) 674-1189
(781) 863-2646
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
118496
MA
101YM0800X
Mental Health Counselor
Primary
6779
MA
Other
Enumeration date
09/03/2015
Last updated
09/03/2015
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