| Andersonka Counseling Llc | |
| 
					29 Tremont St Kingston MA 02364-1231  | |
| (508) 322-1856 | |
| Not Available | 
| Full Name | Andersonka Counseling Llc | 
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) | 
| Location | 29 Tremont St, Kingston, Massachusetts | 
| Authorized Official Name and Position | Kathleen Anderson (RESIDENT AGENT/SOC SIGNATORY) | 
| Authorized Official Contact | 5083221856 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Andersonka Counseling Llc 29 Tremont St Kingston MA 02364-1231 Ph: (508) 322-1856  | Andersonka Counseling Llc 29 Tremont St Kingston MA 02364-1231 Ph: (508) 322-1856  | 
| NPI Number | 1013691369 | 
|---|---|
| Provider Enumeration Date | 06/14/2023 | 
| Last Update Date | 06/14/2023 | 
| Certification Date | 06/14/2023 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1013691369 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary | 
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