Individual provider · Type 1 NPI

Glen Victor Powell, M.S.

Mental Health Counselor · Leominster, MA

NPI number 1104005693 Active

Practice location

100 Erdman Way
Leominster, MA 01453-1804

Call (978) 537-0956 Map

Mailing address

20 Olde Colonial Dr Apt 6
Gardner, MA 01440-4212

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1104005693

Glen Victor Powell, M.S.'s National Provider Identifier is 1104005693, issued on Oct 31, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Leominster, MA. The record was last updated on Oct 31, 2007.