Harry G Provadakes, MDIV
Harry G Provadakes, MDIV is an Addiction (Substance Use Disorder) Counselor in Lowell, Massachusetts. Registered with an NPI since 2008.
- In the registry since
- 2008
Practice location Address checks out
555 Merrimack StLowell, MA 01854-3906
Phone: (978) 459-8656
Fax: (978) 937-2559
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1760639439 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MDIV |
| Sole proprietor | No |
| NPI enumerated | August 25, 2008 |
| Last updated in NPPES | August 25, 2008 |
| Mailing address | 555 Merrimack St, Lowell, MA 01854-3906 |
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