Healthcare Provider Details

I. General information

NPI: 1174644272
Provider Name (Legal Business Name): ARBOUR COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 FORDHAM RD
ALLSTON MA
02134-3006
US

IV. Provider business mailing address

14 FORDHAM RD
ALLSTON MA
02134-3006
US

V. Phone/Fax

Practice location:
  • Phone: 617-782-6460
  • Fax: 617-782-6457
Mailing address:
  • Phone: 617-782-6460
  • Fax: 617-782-6457

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. VERONICA ANNE MILETSKY
Title or Position: LICENSED MENTAL HEALTH COUNSELOR
Credential:
Phone: 617-782-6460