Gabriel Esteban Alviso Jimenez
Counselor, Mental Health in Lowell, MA. Individual provider (NPI-1).
NPI number1942020060
StatusActive
Last updated in NPPESOct 21, 2024
Details
- NPI
- 1942020060
- Entity type
- Individual (NPI-1)
- Name
- Gabriel Esteban Alviso Jimenez
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 14, 2024
- Certification date
- Oct 21, 2024
- Last updated
- Oct 21, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
77 E Merrimack StLowell, MA 01852-1251
Phone 508-469-3254
Mailing address
77 E Merrimack StLowell, MA 01852-1251
Phone 508-469-3254
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