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Harry G Provadakes, MDIV
Addiction (Substance Use Disorder) Counselor in Lowell, Massachusetts
NPI 1760639439

Harry G Provadakes is an Addiction (Substance Use Disorder) Counselor based in Lowell, MA and is specialized in Addiction (Substance Use Disorder). Harry G Provadakes practices in Lowell, MA and has the professional credentials of MDIV. The NPI Number for Harry G Provadakes is 1760639439 and holds a License No. (Massachusetts).

The current practice location address for Harry G Provadakes is 555 Merrimack St, Lowell, MA and can be reached out via phone at 978-459-8656 and via fax at 978-937-2559.

Location: 555 Merrimack St, Lowell, MA, 01854-3906
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760639439
Provider Name
Harry G Provadakes
Credential
MDIV
Provider Entity Type
Individual
Gender
Male
Address
555 Merrimack St, Lowell, MA, 01854-3906
Phone Number
978-459-8656
Fax Number
978-937-2559
Provider Enumeration Date
08/25/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
555 Merrimack St
City
Lowell
State
Massachusetts
Zip
01854-3906
Phone Number
978-459-8656
Fax Number
978-937-2559
person
Provider Business Mailing Address Details
Address
555 Merrimack St
City
Lowell
State
Massachusetts
Zip
01854-3906
Phone Number
978-459-8656
Fax Number
978-937-2559
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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