Mr. Gary J Breault
School Counselor Professional Counselor
25 Catharine St
Worcester
, Massachusetts 01605-2709
Mr. Gary J Breault
School Counselor Professional Counselor
25 Catharine St
Worcester
, Massachusetts 01605-2709
(508) 754-2971
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About
Features
Specialties
- Professional Counselor
- School Counselor
Languages spoken
- English
Location
First Address
- Mr. Gary J Breault
- 25 Catharine St
- Worcester, MA
- Zip : 01605-2709
- Fax : (508) 754-2971
- Phone : (508) 754-3006
Second Address
- Mr. Gary J Breault
- 25 Catharine St
- Worcester, MA
- Zip : 01605-2709
- Fax : (508) 754-2971
- Phone : (508) 754-3006
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YP2500X | Professional Counselor | 6675 | MA |
| N | 101YS0200X | School Counselor | 321767 | MA |
National Provider Identifier
| NPI | 1104071315 |
|---|---|
| Provider Name | Mr. Gary J Breault |
| First Address | Worcester, MA 01605-2709 |
| Second Address | Worcester, MA 01605-2709 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/12/2008 |
| Last Update Date | 02/12/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.