Individual provider · Type 1 NPI

Russell Jeremy Gwilliam, MA, LMHC

Community/Behavioral Health Agency · Worcester, MA

NPI number 1346557543 Active

Practice location

44 Front St
Worcester, MA 01608-1733

Call (508) 753-0321 Map

Mailing address

12 Pineview Trl
Auburn, MA 01501-2120

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000X1745 (MA)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1346557543

Russell Jeremy Gwilliam, MA, LMHC's National Provider Identifier is 1346557543, issued on Sep 9, 2010. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Worcester, MA. The record was last updated on Sep 9, 2010.