Organization
CLEGHORN PROFESSIONAL COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS ANTHONY BRADLEY SR. LMHC (CLINICAL DIRECTOR)
(978) 342-2709
Entity
Organization
Contact information
Practice address
63 FAIRMOUNT ST REAR, FITCHBURG, MA 01420-7613
(978) 342-2709
(978) 342-2709
Mailing address
63 FAIRMOUNT ST REAR, FITCHBURG, MA 01420-7613
(978) 342-2709
(978) 342-2709
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
0007433
MA
Other
Enumeration date
02/18/2011
Last updated
02/18/2011
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