Organization
CTR COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOREN MALKASIAN M.A. LMHC (OWNER)
(508) 747-9640
Entity
Organization
Contact information
Practice address
103 COURT ST, PLYMOUTH, MA 02360-3860
(508) 747-9640
(508) 254-0066
Mailing address
103 COURT ST, PLYMOUTH, MA 02360-3860
(508) 747-9640
(508) 254-0066
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMHC 4564
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000030833
—
MA
01
—
1649277740
INDIVIDUAL NPI
MA
05
—
1890727
—
MA
01
—
LM0862
BLUE CROSS BLUE SHIELD
MA
Enumeration date
05/14/2007
Last updated
08/22/2020
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