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Mr. Gerard F Eyssallenne
Mental Health Counselor in Lowell, Massachusetts
NPI 1043644156

Gerard F Eyssallenne is a Mental Health Counselor based in Tewksbury, MA and is specialized in Mental Health. Gerard F Eyssallenne practices in Lowell, MA. The NPI Number for Gerard F Eyssallenne is 1043644156 and holds a License No. (Massachusetts).

The current practice location address for Gerard F Eyssallenne is 99 Church St, Lowell, MA and can be reached out via phone at 978-458-6282 and via fax at 978-441-9826.

Location: 99 Church St, Lowell, MA, 01876-3937
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043644156
Provider Name
Gerard F Eyssallenne
Credential
Provider Entity Type
Individual
Gender
Male
Address
99 Church St, Lowell, MA, 01876-3937
Phone Number
978-458-6282
Fax Number
978-441-9826
Provider Enumeration Date
08/26/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1305638 05 MA
institution
Provider Business Practice Location Address Details
Address
99 Church St
City
Lowell
State
Massachusetts
Zip
01852-2621
Phone Number
978-458-6282
Fax Number
978-441-9826
person
Provider Business Mailing Address Details
Address
99 Church St
City
Lowell
State
Massachusetts
Zip
01852-2621
Phone Number
978-458-6282
Fax Number
978-441-9826
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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