Individual provider · Type 1 NPI

Justin Allan Pronovost

Mental Health Counselor · Lowell, MA

NPI number 1740587773 Active

Practice location

77 E Merrimack St, Unit 1
Lowell, MA 01852-1251

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1740587773

Justin Allan Pronovost's National Provider Identifier is 1740587773, issued on Feb 28, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lowell, MA. The record was last updated on Feb 28, 2011.