Actualize Counseling & Nutrition LLC
NPI #1316571136 in Arlington, Massachusetts
Provider Information
- NPI Number
- 1316571136
- Entity Type
- Organization
- Organization Name
- Actualize Counseling & Nutrition LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Mar 2, 2020
- Last Updated
- Sep 25, 2023
Practice Location
- Address
- 30 STANDISH RD
- City
- Arlington
- State
- Massachusetts
- ZIP Code
- 02476-7069
- Phone
- (781) 430-9833
Authorized Official
- Name
- LISA KEOVONGSA, RD, LDN
- Title
- OWNER
- Phone
- (781) 430-9833
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Dietitian, Registered - Nutrition, Obesity and Weight Management — Nutrition, Obesity and Weight Management |
| Social Worker - Clinical — Clinical |
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