institution
Northeast Independent Living Program Inc
Counselor in Lawrence, Massachusetts
NPI 1003936774

Northeast Independent Living Program Inc is a Counselor based in Lawrence, MA. Northeast Independent Living Program Inc practices in Lawrence, MA. The NPI Number for Northeast Independent Living Program Inc is 1003936774 and holds a License No. (Massachusetts).

The current practice location address for Northeast Independent Living Program Inc is 20 Ballard Rd, Lawrence, MA and can be reached out via phone at 978-687-4288 and via fax at 978-689-4488.

Location: 20 Ballard Rd, Lawrence, MA, 01843-1018
institution
Provider Profile Details
NPI Number
1003936774
Provider Name
Northeast Independent Living Program Inc
Credential
Provider Entity Type
Organization
Address
20 Ballard Rd, Lawrence, MA, 01843-1018
Phone Number
978-687-4288
Fax Number
978-689-4488
Provider Enumeration Date
03/29/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5800161 01 MA PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
20 Ballard Rd
City
State
Zip
01843-1018
Phone Number
978-687-4288
Fax Number
978-689-4488
person
Provider Business Mailing Address Details
Address
20 Ballard Rd
City
State
Zip
01843-1018
Phone Number
978-687-4288
Fax Number
978-689-4488
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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