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

Glen Ilacqua, MA

Individual provider Mental Health Counselor · NPI 1821416058

Glen Ilacqua, MA is a Mental Health Counselor in Plymouth, Massachusetts. Practices as a sole proprietor. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

47 White Cliff Dr
Plymouth, MA 02360-8009
Phone: (781) 264-3449
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1821416058
Entity typeIndividual (Type 1)
GenderMale
Credentials MA
Sole proprietorYes
NPI enumeratedApril 4, 2014
Last updated in NPPESApril 4, 2014

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