MR. GARY BREAULT
Counselor - Professional
Active
Individual
NPI: 1104071315
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Professional | 101YP2500X | Yes | 6675 (MA) |
| Counselor - School | 101YS0200X | No | 321767 (MA) |
Frequently Asked Questions
NPI 1104071315 is the National Provider Identifier for MR. GARY BREAULT, a Counselor - Professional provider located in Worcester, MA. This NPI was enumerated on December 2, 2008.
MR. GARY BREAULT practices at 25 CATHARINE ST, Worcester, MA 01605.
Quick Facts
- NPI
- 1104071315
- Type
- Individual
- Enumerated
- Dec 2, 2008
- Last Updated
- Dec 2, 2008
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