Seaside Counseling, LLC

NPI #1073841995 in Gloucester, Massachusetts

Provider Information

NPI Number: 1073841995
Entity Type: Organization
Organization Name: Seaside Counseling, LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Dec 4, 2009
Last Updated: Dec 4, 2009

Practice Location

Address: 85 EASTERN AVE
Address 2: SUITE G102
City: Gloucester
State: Massachusetts
ZIP Code: 01930-6512
Phone: (978) 852-8042

Authorized Official

Name: COURTNEY H WILSON, LICSW
Title: CO OWNER
Phone: (978) 852-8042

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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