Gruener, Clinton Christopher

Gruener, Clinton Christopher is an sole proprietor health care provider with primary practice located at 72 Langley Rd , Newton Center MA 02459-1960. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Gruener, Clinton Christopher can be contacted via phone (617) 965-6552.

Contact Information

Primary practice address
72 Langley Rd Newton Center MA 02459-1960
Phone: (617) 965-6552
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LMHC #1286 Massachusetts
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LMFT #646 Massachusetts

Profile Details

NPI number 1104945229
LBN Legal business name Gruener, Clinton Christopher
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104945229 NPPES
Massachusetts Other LM 0679 BLUE CROSS PROVIDER #

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