Provider Demographics
NPI:1689890972
Name:CAMBRIDGE COUNSELING ASSOCIATES
Entity Type:Organization
Organization Name:CAMBRIDGE COUNSELING ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:T
Authorized Official - Last Name:CHIRBAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-868-6557
Mailing Address - Street 1:1105 MASSACHUSETTS AVE APT 3E
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02138-5221
Mailing Address - Country:US
Mailing Address - Phone:617-868-6557
Mailing Address - Fax:
Practice Address - Street 1:1105 MASSACHUSETTS AVE APT 3E
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-5221
Practice Address - Country:US
Practice Address - Phone:617-868-6557
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TP0016XBehavioral Health & Social Service ProvidersPsychologistPrescribing (Medical)Group - Single Specialty