Healthcare Provider Details

I. General information

NPI: 1871452573
Provider Name (Legal Business Name): CONCORD COUNSELING ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2026
Last Update Date: 01/28/2026
Certification Date: 01/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 MAIN ST
CONCORD MA
01742-2580
US

IV. Provider business mailing address

18 MAIN ST
CONCORD MA
01742-2580
US

V. Phone/Fax

Practice location:
  • Phone: 978-402-6938
  • Fax:
Mailing address:
  • Phone: 978-402-6938
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: DR. REYNOL JUNCO
Title or Position: CEO
Credential:
Phone: 978-402-6938