| Organization Name: | CHELMSFORD FAMILY COUNSELING CENTER |
| NPI Number: | 1780890871 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANTHONY A SHIPLEY (DIRECTOR) |
| Mailing Address: | 73 Princeton St #314 N Chelmsford |
| State: | MA US |
| Postal Code: | 018631558 |
| Phone Number: | 9782517806 |
| Fax Number: | 9782517719 |
| NPI Enumeration Date: | 05/15/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 105373 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |