Provider Demographics
NPI:1790809481
Name:ARBOUR COUNSELING SERVICES
Entity Type:Organization
Organization Name:ARBOUR COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:FLETCHER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:6177-826-4660
Mailing Address - Street 1:200 MOUNTAIN AVE APT 28
Mailing Address - Street 2:
Mailing Address - City:MALDEN
Mailing Address - State:MA
Mailing Address - Zip Code:02148-2752
Mailing Address - Country:US
Mailing Address - Phone:617-834-0235
Mailing Address - Fax:
Practice Address - Street 1:200 MOUNTAIN AVE APT 28
Practice Address - Street 2:
Practice Address - City:MALDEN
Practice Address - State:MA
Practice Address - Zip Code:02148-2752
Practice Address - Country:US
Practice Address - Phone:617-834-0235
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchoolGroup - Multi-Specialty