Individual provider · Type 1 NPI

Gabriel Glass, 172V00000X

Mental Health Counselor · Peabody, MA

NPI number 1619629441 Active

Practice location

9 Centennial Dr Unit 101
Peabody, MA 01960-7940

Call (617) 790-4800 Map

Fax (978) 531-0965

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X172V00000X (MA)

Mental Health Counselor: Definition to come...

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About NPI 1619629441

Gabriel Glass, 172V00000X's National Provider Identifier is 1619629441, issued on Jan 23, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Peabody, MA. The record was last updated on Jan 23, 2022.