Individual provider · Type 1 NPI

Harry G. Provadakes, M.DIV

Addiction (Substance Use Disorder) Counselor · Lowell, MA

NPI number 1760639439 Active

Practice location

555 Merrimack St
Lowell, MA 01854-3906

Fax (978) 937-2559

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1760639439

Harry G. Provadakes, M.DIV's National Provider Identifier is 1760639439, issued on Aug 25, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lowell, MA. The record was last updated on Aug 25, 2008.