Provider Demographics
NPI:1225457831
Name:GARCIA, GABRIEL (MS, LMHC)
Entity Type:Individual
Prefix:
First Name:GABRIEL
Middle Name:
Last Name:GARCIA
Suffix:
Gender:M
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 WESTMINSTER AVE
Mailing Address - Street 2:
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01830-2701
Mailing Address - Country:US
Mailing Address - Phone:978-457-9799
Mailing Address - Fax:978-457-9799
Practice Address - Street 1:430 N CANAL ST
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01840-1246
Practice Address - Country:US
Practice Address - Phone:978-327-6654
Practice Address - Fax:978-327-6691
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-10
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor