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

RUSSELL JEREMY GWILLIAM, MA, LMHC

Active Sole Proprietor

RUSSELL JEREMY GWILLIAM, MA, LMHC is a Community/Behavioral Health healthcare provider located in WORCESTER, Massachusetts. NPI 1346557543 is currently active in the NPPES registry. Verify at CMS.

Community/Behavioral Health · WORCESTER, MA

Registration Details

NPI Number
1346557543
Provider Type
Individual
Gender
Male
NPI Issued
Sep 9, 2010 (15.742826624145 yrs)
Last Updated
Sep 9, 2010
License
1745 (MA)
Sole Proprietor
Yes

Practice Information

Address
44 FRONT ST
WORCESTER, MA, 016081733
Browse MA providers · Browse ZIP 01608
Phone
5087530321
Primary Specialty
Community/Behavioral Health
251S00000X

Other Community/Behavioral Health Providers in WORCESTER, MA

Name Credential NPI
MS. TERI ELLEN NEWMAN LCSW 1700933058
MISS VIVIAN DAPHNE SANTIAGO CADC, LMHC 1639495112
MS. SERAH W MUIRURI MED, CRC 1326359753
KIRSTIE MARIE CLEMENTE 1902108616
MRS. SHARON ELIZABETH GROW L.C.S.W. 1073802518
GEORGE WAHOME 1922421361
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.