| Breakwater Counseling, Llc | |
|
2 Main St Fl 3 Gloucester MA 01930-5726 | |
| (508) 284-2121 | |
| Not Available |
| Full Name | Breakwater Counseling, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 2 Main St Fl 3, Gloucester, Massachusetts |
| Authorized Official Name and Position | Kristina Michelle Simon (MENTAL HEALTH CLINICIAN) |
| Authorized Official Contact | 5082842121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breakwater Counseling, Llc 30 Marble St Gloucester MA 01930-4281 Ph: (508) 284-2121 | Breakwater Counseling, Llc 2 Main St Fl 3 Gloucester MA 01930-5726 Ph: (508) 284-2121 |
| NPI Number | 1902499155 |
|---|---|
| Provider Enumeration Date | 02/18/2021 |
| Last Update Date | 02/18/2021 |
| Certification Date | 02/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902499155 | NPI | - | NPPES |
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