| Kintsugi Collaborative Counseling | |
|
768 Turnpike St Canton MA 02021-2806 | |
| (617) 877-5351 | |
| Not Available |
| Full Name | Kintsugi Collaborative Counseling |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 768 Turnpike St, Canton, Massachusetts |
| Authorized Official Name and Position | Yelena Lukashev (OWNER) |
| Authorized Official Contact | 6178775351 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kintsugi Collaborative Counseling 768 Turnpike St Canton MA 02021-2806 Ph: (617) 877-5351 | Kintsugi Collaborative Counseling 768 Turnpike St Canton MA 02021-2806 Ph: (617) 877-5351 |
| NPI Number | 1659950921 |
|---|---|
| Provider Enumeration Date | 04/05/2021 |
| Last Update Date | 04/05/2021 |
| Certification Date | 04/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659950921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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