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Russell Jeremy Gwilliam, MA,LMHC
Community/Behavioral Health Agency in Worcester, Massachusetts
NPI 1346557543

Russell Jeremy Gwilliam is a Community/Behavioral Health Agency based in Auburn, MA. Russell Jeremy Gwilliam practices in Worcester, MA and has the professional credentials of MA,LMHC. The NPI Number for Russell Jeremy Gwilliam is 1346557543 and holds a License No. 1745 (Massachusetts).

The current practice location address for Russell Jeremy Gwilliam is 44 Front St, Worcester, MA and can be reached out via phone at 508-753-0321. You can also correspond with Russell Jeremy Gwilliam through the mailing address at 12 PINEVIEW TRL, AUBURN, MA - 01501-2120 (mailing address contact number: 508-864-0839).

Location: 44 Front St, Worcester, MA, 01501-2120
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346557543
Provider Name
Russell Jeremy Gwilliam
Credential
MA,LMHC
Provider Entity Type
Individual
Gender
Male
Address
44 Front St, Worcester, MA, 01501-2120
Phone Number
508-753-0321
Fax Number
Provider Enumeration Date
09/09/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
44 Front St
City
Worcester
State
Massachusetts
Zip
01608-1733
Phone Number
508-753-0321
Fax Number
person
Provider Business Mailing Address Details
Address
12 Pineview Trl
City
Auburn
State
Massachusetts
Zip
01501-2120
Phone Number
508-864-0839
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
1745 (Massachusetts)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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