Provider Demographics
NPI:1366265191
Name:CDK COUNSELING, LLC
Entity type:Organization
Organization Name:CDK COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICSW
Authorized Official - Prefix:MRS
Authorized Official - First Name:CLARESE
Authorized Official - Middle Name:
Authorized Official - Last Name:KIRSHEN
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LICSW
Authorized Official - Phone:781-664-8346
Mailing Address - Street 1:9 MOONPENNY DR
Mailing Address - Street 2:
Mailing Address - City:BOXFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01921-2706
Mailing Address - Country:US
Mailing Address - Phone:781-664-8346
Mailing Address - Fax:
Practice Address - Street 1:9 MOONPENNY DR
Practice Address - Street 2:
Practice Address - City:BOXFORD
Practice Address - State:MA
Practice Address - Zip Code:01921-2706
Practice Address - Country:US
Practice Address - Phone:781-664-8346
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-31
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health