BRIAN MARTIN GWOZDZ LADC 1 NPI 1417553454

NPI Information

NPI: 1417553454
Provider Name: BRIAN MARTIN GWOZDZ, LADC 1
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
13 LAKESHORE RD
PEABODY, MA
ZIP 01960
Phone: (413) 519-4237
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Brian Martin Gwozdz, LADC 1 is an addiction (substance use disorder) counselor in Peabody, MA. Brian Martin Gwozdz, LADC 1 NPI is 1417553454. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

13 LAKESHORE RD
PEABODY, MA
ZIP 01960-514
Phone: (413) 519-4237
Fax: (855) 260-8265

The enumeration date for this NPI number is 12/7/2020 and was last updated on 12/7/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	1535	MASSACHUSETTS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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