Robert W Brown, LMHC

Individual provider Active NPI Mental Health Counselor · Gardner, MA

NPI 1487700613 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1487700613
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
4876 (MA)
Practice address
55 Lake St
Gardner, MA 01440-3876
Phone
(508) 849-5648
NPI assigned
Jan 29, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4876 MA Yes

Addresses

Primary practice location

55 Lake St
Gardner, MA 01440-3876

Mailing address

487 Royalston Rd
Fitzwilliam, NH 03447-3435
Phone (603) 585-9052

Other providers in Gardner, MA

All providers in Gardner, MA · Mental Health Counselor in Massachusetts

Sources for this page

Verify at the official NPI Registry.