Provider Demographics
NPI:1093852550
Name:HARBOR COUNSELING ASSOCIATES
Entity Type:Organization
Organization Name:HARBOR COUNSELING ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:B
Authorized Official - Last Name:DUNAY
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:508-746-8886
Mailing Address - Street 1:340 COURT ST
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-4334
Mailing Address - Country:US
Mailing Address - Phone:508-746-8886
Mailing Address - Fax:508-746-8816
Practice Address - Street 1:340 COURT ST
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-4334
Practice Address - Country:US
Practice Address - Phone:508-746-8886
Practice Address - Fax:508-746-8816
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2016-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP10226OtherBCBS
MA625062OtherTUFTS
MA625062OtherTUFTS
MA=========OtherPACIFICARE