Organization
COUNSELING & ASSESSMENT CLINIC OF WORCESTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER J HYLTON PSY. D. (EXECUTIVE DIRECTOR)
(508) 756-5400
Entity
Organization
Contact information
Practice address
255 PARK AVE STE 804, WORCESTER, MA 01609
(508) 756-5400
(508) 756-5433
Mailing address
255 PARK AVE STE 804, WORCESTER, MA 01609-1984
(508) 756-5400
(508) 756-5433
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1894196
—
MA
Enumeration date
05/22/2007
Last updated
07/23/2018
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