Individual provider · Type 1 NPI

Owen Charles, Sergey McMullen

Counselor · Gloucester, MA

NPI number 1982349072 Active

Practice location

3 Blackburn Ctr
Gloucester, MA 01930-2268

Mailing address

6 Juniper Rd
Gloucester, MA 01930-1630

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1982349072

Owen Charles, Sergey McMullen's National Provider Identifier is 1982349072, issued on May 3, 2022. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Gloucester, MA. The record was last updated on May 3, 2022.