Cleghorn Professional Counseling Center

Organization Exclusive Provider Organization · NPI 1497052930

Cleghorn Professional Counseling Center is an Exclusive Provider Organization in Fitchburg, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2011.

Licensed in: MA
In the registry since: 2011

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Practice location Address checks out

63 Fairmount St Rear
Fitchburg, MA 01420-7613
Phone: (978) 342-2709
Fax: (978) 342-2709

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Specialties & licences

Exclusive Provider Organization (primary)	Taxonomy 302F00000X · Licence 0007433 (MA)

Record details

NPI number	1497052930
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Dennis Bradley — Clinical Director · (978) 342-2709
NPI enumerated	February 18, 2011
Last updated in NPPES	February 18, 2011
Mailing address	63 Fairmount St Rear, Fitchburg, MA 01420-7613