Individual provider · Type 1 NPI

John M. Thibeault, LMHC

Mental Health Counselor · Gardner, MA

NPI number 1932245180 Active

Practice location

55 Lake St
Gardner, MA 01440-3876

Mailing address

89 Waterford St
Gardner, MA 01440-2524

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X5590 (MA)

Mental Health Counselor: Definition to come...

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About NPI 1932245180

John M. Thibeault, LMHC's National Provider Identifier is 1932245180, issued on Jan 29, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gardner, MA. The record was last updated on Jul 8, 2007.