JUSTIN ALLAN PRONOVOST

LOWELL, MA
NPI1740587773
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2011-02-28
Last Update Date2011-02-28
Business Address
Mr. JUSTIN ALLAN PRONOVOST
77 E MERRIMACK ST UNIT 1
LOWELL, MA 01852-1251
Phone number: 978-453-6800
Mailing Address
Mr. JUSTIN ALLAN PRONOVOST
77 E MERRIMACK ST UNIT 1
LOWELL, MA 01852-1251
Phone number: 978-453-6800