Organization
CHRISTIAN COUNSELING AND RECONCILIATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES M SCHWARZ ED D (LICENSED PSYCHOLOGIST PRESIDENT)
(508) 695-0517
Entity
Organization
Contact information
Practice address
955 FAIRVIEW ST, LEE, MA 01238-9305
(508) 695-0517
(508) 695-0517
Mailing address
955 FAIRVIEW ST, LEE, MA 01238-9305
(508) 695-0517
(508) 695-0517
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W10442
BLUE CROSS BLUE SHIELD
MA
Enumeration date
10/16/2006
Last updated
05/19/2021
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