Jennifer Gauthier
Individual provider Active NPI Counselor · Athol, MA
NPI 1508019902 · NPPES record last updated Oct 29, 2008
Key facts
- NPI
- 1508019902
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 491 Main St
Athol, MA 01331-1846 - Phone
- (978) 249-9490
- NPI assigned
- Oct 29, 2008
- Sex
- Female
- Sole proprietor
- No
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
491 Main St
Athol, MA 01331-1846
Mailing address
111 Federal St
Greenfield, MA 01301-2501
Other providers in Athol, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.