Provider Demographics
NPI:1467076018
Name:COUNSELING & CONSULTATION ASSOCIATES, INC
Entity Type:Organization
Organization Name:COUNSELING & CONSULTATION ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST/COORDINATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HUGO
Authorized Official - Middle Name:
Authorized Official - Last Name:KAMYA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:781-608-2387
Mailing Address - Street 1:661 MASSACHUSETTS AVE STE 3&4
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02476-5000
Mailing Address - Country:US
Mailing Address - Phone:781-608-2387
Mailing Address - Fax:
Practice Address - Street 1:661 MASSACHUSETTS AVE STE 3&4
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:MA
Practice Address - Zip Code:02476-5000
Practice Address - Country:US
Practice Address - Phone:781-608-2387
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-29
Last Update Date:2020-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty