Organization
PREVENTIVE MEDICINE ASSOCIATES
Active
Other names
Barnstable Counseling Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY J DELONG MM, RHIA (CREDENTIALING MANAGER)
(413) 222-7711
Entity
Organization
Contact information
Practice address
3261 MAIN ST, BARNSTABLE, MA 02630-1105
(617) 328-5700
Mailing address
3261 MAIN ST, BARNSTABLE, MA 02630-1105
(617) 328-5700
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/09/2009
Last updated
02/09/2009
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