| Comprehensive Counseling & Consulting Services LLC | |
|
360 Highland St Dedham MA 02026-5832 | |
| (617) 639-6968 | |
| (919) 364-4797 |
| Full Name | Comprehensive Counseling & Consulting Services LLC |
|---|---|
| Speciality | Counselor |
| Location | 360 Highland St, Dedham, Massachusetts |
| Authorized Official Name and Position | Emmanuel Dorvelus (CEO) |
| Authorized Official Contact | 6176396968 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Counseling & Consulting Services LLC 360 Highland St Dedham MA 02026-5832 Ph: (617) 639-6968 | Comprehensive Counseling & Consulting Services LLC 360 Highland St Dedham MA 02026-5832 Ph: (617) 639-6968 |
| NPI Number | 1184291742 |
|---|---|
| Provider Enumeration Date | 06/10/2021 |
| Last Update Date | 06/10/2021 |
| Certification Date | 06/10/2021 |
| Medicare PECOS PAC ID | 6406323146 |
|---|---|
| Medicare Enrollment ID | O20260430000141 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184291742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (NU) | Primary |
| Provider Name | Emmanuel Dorvelus |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518381284 PECOS PAC ID: 7214404953 Enrollment ID: I20260430000189 |
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