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Mr. Justin Allan Pronovost
Mental Health Counselor in Lowell, Massachusetts
NPI 1740587773

Justin Allan Pronovost is a Mental Health Counselor based in Lowell, MA and is specialized in Mental Health. Justin Allan Pronovost practices in Lowell, MA. The NPI Number for Justin Allan Pronovost is 1740587773 and holds a License No. (Massachusetts).

The current practice location address for Justin Allan Pronovost is 77 E Merrimack St, Lowell, MA and can be reached out via phone at 978-453-6800.

Location: 77 E Merrimack St, Lowell, MA, 01852-1251
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740587773
Provider Name
Justin Allan Pronovost
Credential
Provider Entity Type
Individual
Gender
Male
Address
77 E Merrimack St, Lowell, MA, 01852-1251
Phone Number
978-453-6800
Fax Number
Provider Enumeration Date
02/28/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
77 E Merrimack St
City
Lowell
State
Massachusetts
Zip
01852-1251
Phone Number
978-453-6800
Fax Number
person
Provider Business Mailing Address Details
Address
77 E Merrimack St
City
Lowell
State
Massachusetts
Zip
01852-1251
Phone Number
978-453-6800
Fax Number
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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