Provider Demographics
NPI:1205084712
Name:JCL COUNSELING GROUP, LLP
Entity type:Organization
Organization Name:JCL COUNSELING GROUP, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:MICHELE
Authorized Official - Last Name:ELLIOTT
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:978-223-0672
Mailing Address - Street 1:200 BROADWAY
Mailing Address - Street 2:SUITE 301
Mailing Address - City:LYNNFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01940-2349
Mailing Address - Country:US
Mailing Address - Phone:978-223-0672
Mailing Address - Fax:
Practice Address - Street 1:200 BROADWAY
Practice Address - Street 2:SUITE 301
Practice Address - City:LYNNFIELD
Practice Address - State:MA
Practice Address - Zip Code:01940-2349
Practice Address - Country:US
Practice Address - Phone:978-223-0672
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-09
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3605101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty