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Organization

CREATIVE COUNSELING SOLUTIONS, INC

Active
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Organization

CREATIVE COUNSELING SOLUTIONS, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT EDWARD KONKEL LICSW (PRESIDENT)
(508) 717-0212
Entity
Organization

Contact information

Practice address
345 UNION ST, NEW BEDFORD, MA 02740-3679
(508) 717-0212
(508) 717-0212
Mailing address
345 UNION ST, NEW BEDFORD, MA 02740-3679
(508) 717-0212
(508) 717-0212

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1022691
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
013485440-0
PACIFICARE
MA
05
1853937
MA
01
6254470
UBHC
01
P06582
BC/BS
Enumeration date
04/23/2009
Last updated
06/16/2015
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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