person
Gabriel Glass, 172V00000X
Mental Health Counselor in Peabody, Massachusetts
NPI 1619629441

Gabriel Glass is a Mental Health Counselor based in Peabody, MA and is specialized in Mental Health. Gabriel Glass practices in Peabody, MA and has the professional credentials of 172V00000X. The NPI Number for Gabriel Glass is 1619629441 and holds a License No. 172V00000X (Massachusetts).

The current practice location address for Gabriel Glass is 9 Centennial Dr Unit 101, Peabody, MA and can be reached out via phone at 617-790-4800 and via fax at 978-531-0965. You can also correspond with Gabriel Glass through the mailing address at 9 CENTENNIAL DR UNIT 101, PEABODY, MA - 01960-7940 (mailing address contact number: 617-790-4800).

Location: 9 Centennial Dr Unit 101, Peabody, MA, 01960-7940
person
Provider Profile Details
NPI Number
1619629441
Provider Name
Gabriel Glass
Credential
172V00000X
Provider Entity Type
Individual
Gender
Male
Address
9 Centennial Dr Unit 101, Peabody, MA, 01960-7940
Phone Number
617-790-4800
Fax Number
978-531-0965
Provider Enumeration Date
01/23/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
172V00000X 01 MA MENTOR/COUNSELOR
institution
Provider Business Practice Location Address Details
Address
9 Centennial Dr Unit 101
City
State
Zip
01960-7940
Phone Number
617-790-4800
Fax Number
978-531-0965
person
Provider Business Mailing Address Details
Address
9 Centennial Dr Unit 101
City
State
Zip
01960-7940
Phone Number
617-790-4800
Fax Number
978-531-0965
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
172V00000X (Massachusetts)
Definition
Definition to come...
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