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Jonathan Scully, MA
Mental Health Counselor in Gardner, Massachusetts
NPI 1700322278

Jonathan Scully is a Mental Health Counselor based in Gardner, MA and is specialized in Mental Health. Jonathan Scully practices in Gardner, MA and has the professional credentials of MA. The NPI Number for Jonathan Scully is 1700322278 and holds a License No. (Massachusetts).

The current practice location address for Jonathan Scully is 205 School St, Gardner, MA and can be reached out via phone at 978-632-9400 and via fax at 978-632-6524.

Location: 205 School St, Gardner, MA, 01440-2781
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700322278
Provider Name
Jonathan Scully
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
205 School St, Gardner, MA, 01440-2781
Phone Number
978-632-9400
Fax Number
978-632-6524
Provider Enumeration Date
01/09/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
042206041 05 MA
institution
Provider Business Practice Location Address Details
Address
205 School St
City
Gardner
State
Massachusetts
Zip
01440-2781
Phone Number
978-632-9400
Fax Number
978-632-6524
person
Provider Business Mailing Address Details
Address
205 School St
City
Gardner
State
Massachusetts
Zip
01440-2781
Phone Number
978-632-9400
Fax Number
978-632-6524
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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