| Retrace Counseling Services | |
|
20 Edgewood Rd Pittsfield MA 01201-3306 | |
| (413) 446-7217 | |
| Not Available |
| Full Name | Retrace Counseling Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 20 Edgewood Rd, Pittsfield, Massachusetts |
| Authorized Official Name and Position | Khadeejah Hassan (OWNER) |
| Authorized Official Contact | 4134467217 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Retrace Counseling Services 20 Edgewood Rd Pittsfield MA 01201-3306 Ph: (413) 446-7217 | Retrace Counseling Services 20 Edgewood Rd Pittsfield MA 01201-3306 Ph: (413) 446-7217 |
| NPI Number | 1295494300 |
|---|---|
| Provider Enumeration Date | 12/16/2021 |
| Last Update Date | 05/01/2024 |
| Certification Date | 05/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295494300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 251E00000X | Home Health | (* (Not Available)) | Secondary |
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