Individual provider · Type 1 NPI

Gloria Asiriuwa Kincade

Mental Health Counselor · Salem, MA

NPI number 1528512985 Active

Practice location

110 Boston St
Salem, MA 01970-1402

Mailing address

1111 W Main St Apt 220
Carmel, IN 46032-1585

Other practice locations

  • 1111 W Main St Apt 220, Carmel, IN 46032-1585 · (617) 852-6683

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLMHC10002437 (MA)
Mental Health Counselor 101YM0800X39005282A (IN)

Mental Health Counselor: Definition to come...

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About NPI 1528512985

Gloria Asiriuwa Kincade's National Provider Identifier is 1528512985, issued on Aug 15, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Salem, MA. The record was last updated on Mar 22, 2026.