| Unicorn Counseling Services | |
|
182 Woodard Ave Brockton MA 02301-6314 | |
| (508) 203-1774 | |
| Not Available |
| Full Name | Unicorn Counseling Services |
|---|---|
| Speciality | Social Worker |
| Location | 182 Woodard Ave, Brockton, Massachusetts |
| Authorized Official Name and Position | Jessica Cunningham (OWNER) |
| Authorized Official Contact | 5082031774 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Unicorn Counseling Services 182 Woodard Ave Brockton MA 02301-6314 Ph: (508) 203-1774 | Unicorn Counseling Services 182 Woodard Ave Brockton MA 02301-6314 Ph: (508) 203-1774 |
| NPI Number | 1063254720 |
|---|---|
| Provider Enumeration Date | 06/12/2024 |
| Last Update Date | 04/16/2025 |
| Certification Date | 04/16/2025 |
| Medicare PECOS PAC ID | 2860933538 |
|---|---|
| Medicare Enrollment ID | O20240920002938 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063254720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jessica L Cunningham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699328203 PECOS PAC ID: 4981013711 Enrollment ID: I20210507001983 |
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