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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. GARY J BREAULT

Active Sole Proprietor

MR. GARY J BREAULT is a Professional Counselor healthcare provider located in WORCESTER, Massachusetts. NPI 1104071315 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · WORCESTER, MA

Registration Details

NPI Number
1104071315
Provider Type
Individual
Gender
Male
NPI Issued
Dec 2, 2008 (17.509702998593 yrs)
Last Updated
Dec 2, 2008
Licenses
6675 (MA)
321767 (MA)
Sole Proprietor
Yes

Practice Information

Address
25 CATHARINE ST
WORCESTER, MA, 016052709
Browse MA providers · Browse ZIP 01605
Phone
5087543006
Fax
5087542971
Primary Specialty
Professional Counselor
101YP2500X
Additional Specialty
School Counselor

Other Professional Counselor Providers in WORCESTER, MA

Name Credential NPI
MS. DORIS M SMITH LMHC 1700991684
MR. NATHAN Y PETERSON L.M.H.C. 1528134848
NICOLE DAIGLE LMHC 1760545800
MS. IRENE E. WANJIKU MA, CAGS, CRC 1780734137
MRS. ANNMARIE NANCY LONG SEGLIN LMHC 1528107778
MRS. MARY THERESA CARPENTER LSW, MA , MA 1003954587
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.