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NPI Code Detail

MEDICARE: POSITIVE ENERGY MEDICINE

MEDICARE: POSITIVE ENERGY MEDICINE
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
1101YP2500XProfessional Counselor231520MA

General Provider Information

NPI Number : 1467723635
Entity Type Code : Organization
Provider Name (Legal Business Name) : POSITIVE ENERGY MEDICINE
Provider Business Mailing Address
First Line : 450 PEARL ST STE 3
Second Line :
City : STOUGHTON
State : MA
Zip : 02072-1617
Country : US
Telephone Number : 781-344-0057
Fax Number :
Provider Business Practice Location Address
First Line : 450 PEARL ST STE 3
Second Line :
City : STOUGHTON
State : MA
Zip : 02072-1617
Country : US
Telephone Number : 781-344-0057
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MRS. GABRIELLE P ABELARD
Credential : PMHCNS,BC
Telephone Number : 617-721-1153
Provider Enumeration Date : 01/19/2012
Last Update Date : 01/19/2012

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Directions to “POSITIVE ENERGY MEDICINE ” Practice Location

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