person
Glen T Prospere
Mental Health Counselor in Boston, Massachusetts
NPI 1912135666

Glen T Prospere is a Mental Health Counselor based in Hyde Park, MA and is specialized in Mental Health. Glen T Prospere practices in Boston, MA. The NPI Number for Glen T Prospere is 1912135666 and holds a License No. 6911 (Massachusetts).

The current practice location address for Glen T Prospere is 1601 Washington Street, Boston, MA and can be reached out via phone at 617-425-2000 and via fax at 617-424-8725.

Location: 1601 Washington Street, Boston, MA, 02136
person
Provider Profile Details
NPI Number
1912135666
Provider Name
Glen T Prospere
Credential
Provider Entity Type
Individual
Gender
Male
Address
1601 Washington Street, Boston, MA, 02136
Phone Number
617-425-2000
Fax Number
617-424-8725
Provider Enumeration Date
07/01/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1601 Washington Street
City
State
Zip
02118-1951
Phone Number
617-425-2000
Fax Number
617-424-8725
person
Provider Business Mailing Address Details
Address
1601 Washington Street
City
State
Zip
02118-1951
Phone Number
617-425-2000
Fax Number
617-424-8725
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
6911 (Massachusetts)
Definition
Definition to come...
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