MEDICARE: CONCORD COUNSELING ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor
2	101Y00000X	Counselor

General Provider Information

NPI Number	:	1871452573
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONCORD COUNSELING ASSOCIATES

Provider Business Mailing Address
First Line	:	18 MAIN ST
Second Line	:
City	:	CONCORD
State	:	MA
Zip	:	01742-2580
Country	:	US
Telephone Number	:	978-402-6937
Fax Number	:

Provider Business Practice Location Address
First Line	:	18 MAIN ST
Second Line	:
City	:	CONCORD
State	:	MA
Zip	:	01742-2580
Country	:	US
Telephone Number	:	978-402-6937
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	DR. REYNOL JUNCO
Credential	:
Telephone Number	:	978-402-6937

Provider Enumeration Date	:	01/19/2026
Last Update Date	:	01/19/2026

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