Organization
COGNICOUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE RUSSELLA POLLARD (OWNER)
(617) 785-8192
Entity
Organization
Contact information
Practice address
747 MAIN ST, CONCORD, MA 01742-3302
(617) 785-8192
Mailing address
60 WILLOW ST, ACTON, MA 01720-2710
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
000009167
MA
Other
Enumeration date
04/24/2018
Last updated
04/24/2018
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