Provider Demographics
NPI:1497087852
Name:ASSOCIATES IN COUNSELING & PSYCHOLOGY
Entity Type:Organization
Organization Name:ASSOCIATES IN COUNSELING & PSYCHOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:ERICSON
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:508-385-3340
Mailing Address - Street 1:900 ROUTE 134 UNIT 3-28
Mailing Address - Street 2:
Mailing Address - City:SOUTH DENNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02660-2573
Mailing Address - Country:US
Mailing Address - Phone:508-385-3340
Mailing Address - Fax:508-385-3340
Practice Address - Street 1:900 ROUTE 134 UNIT 3-28
Practice Address - Street 2:
Practice Address - City:SOUTH DENNIS
Practice Address - State:MA
Practice Address - Zip Code:02660-2573
Practice Address - Country:US
Practice Address - Phone:508-385-3340
Practice Address - Fax:508-385-3340
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-09
Last Update Date:2010-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty