Provider Demographics
NPI:1962559914
Name:CLINTON COUNSELING, LLC
Entity type:Organization
Organization Name:CLINTON COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:REBA
Authorized Official - Middle Name:TYLER
Authorized Official - Last Name:REUSCH
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:978-365-8000
Mailing Address - Street 1:70 HIGH ST
Mailing Address - Street 2:SUITE 206
Mailing Address - City:CLINTON
Mailing Address - State:MA
Mailing Address - Zip Code:01510-2922
Mailing Address - Country:US
Mailing Address - Phone:978-365-8000
Mailing Address - Fax:978-365-7561
Practice Address - Street 1:70 HIGH ST
Practice Address - Street 2:SUITE 206
Practice Address - City:CLINTON
Practice Address - State:MA
Practice Address - Zip Code:01510-2922
Practice Address - Country:US
Practice Address - Phone:978-365-8000
Practice Address - Fax:978-365-7561
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1027535101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty