Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gabriel Glass, 172V00000X

Individual provider Mental Health Counselor · NPI 1619629441

Gabriel Glass, 172V00000X is a Mental Health Counselor in Peabody, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2022.

Licensed in
MA
In the registry since
2022

Practice location Address checks out

9 Centennial Dr Unit 101
Peabody, MA 01960-7940
Phone: (617) 790-4800
Fax: (978) 531-0965
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 172V00000X (MA)

Record details

NPI number1619629441
Entity typeIndividual (Type 1)
GenderMale
Credentials 172V00000X
Sole proprietorNo
NPI enumeratedJanuary 23, 2022
Last updated in NPPESJanuary 23, 2022
Certification dateJanuary 23, 2022

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