Individual provider · Type 1 NPI

Steffen Glenn Gillom, PhD, LMFT

Marriage & Family Therapist · Pawtucket, RI

NPI number 1992670913 Active

Practice location

750 East Ave Unit 27
Pawtucket, RI 02860-6245

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XMFT00316 (RI)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1992670913

Steffen Glenn Gillom, PhD, LMFT's National Provider Identifier is 1992670913, issued on Oct 8, 2025. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Pawtucket, RI. The record was last updated on Aug 31, 2026.