Organization
COMPREHENSIVE COUNSELING LCSW PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KELLYE HICKEY (DIRECTOR OF PAYOR AND PROVIDER)
(617) 645-2034
Entity
Organization
Contact information
Practice address
2 MAIN ST STE 2A, PLYMOUTH, MA 02360-8325
(718) 830-0246
(718) 830-9088
Mailing address
2 MAIN ST STE 2A, PLYMOUTH, MA 02360-8325
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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