person
Glen Ilacqua, MA
Mental Health Counselor in Plymouth, Massachusetts
NPI 1821416058

Glen Ilacqua is a Mental Health Counselor based in Plymouth, MA and is specialized in Mental Health. Glen Ilacqua practices in Plymouth, MA and has the professional credentials of MA. The NPI Number for Glen Ilacqua is 1821416058 and holds a License No. (Massachusetts).

The current practice location address for Glen Ilacqua is 47 White Cliff Dr, Plymouth, MA and can be reached out via phone at 781-264-3449.

Location: 47 White Cliff Dr, Plymouth, MA, 02360-8009
person
Provider Profile Details
NPI Number
1821416058
Provider Name
Glen Ilacqua
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
47 White Cliff Dr, Plymouth, MA, 02360-8009
Phone Number
781-264-3449
Fax Number
Provider Enumeration Date
04/04/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
47 White Cliff Dr
City
State
Zip
02360-8009
Phone Number
781-264-3449
Fax Number
person
Provider Business Mailing Address Details
Address
47 White Cliff Dr
City
State
Zip
02360-8009
Phone Number
781-264-3449
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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