Organization
VICTORIA COUNSELING SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPHINE BANIGO NP (NJURSE PRACTITIONER)
(508) 826-9488
Entity
Organization
Contact information
Practice address
114 KELBER DR, MARLBOROUGH, MA 01752-1275
(508) 826-9488
Mailing address
320 BOLTON ST, SUITE 204, MARLBOROUGH, MA 01752-3988
(508) 826-9488
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
218062
MA
Other
Enumeration date
07/10/2015
Last updated
07/10/2015
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