Individual provider · Type 1 NPI

Patrick Gallivan

Mental Health Counselor · Worcester, MA

NPI number 1912186891 Active

Practice location

340 Main St
Worcester, MA 01608-1604

Call (508) 523-8727 Map

Mailing address

17 Homestead Ave
Auburn, MA 01501-2038

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1912186891

Patrick Gallivan's National Provider Identifier is 1912186891, issued on Oct 29, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Worcester, MA. The record was last updated on Jul 28, 2010.