Individual
MR. CHARLES GENRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC, LPC
Contact information
Practice address
33 LEAD MINE RD, LEVERETT, MA 01054-9524
(413) 200-9291
Mailing address
33 LEAD MINE RD, LEVERETT, MA 01054-9524
(413) 200-9291
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10000268
MA
101YP2500X
Professional Counselor
5499
LA
Other
Enumeration date
07/29/2015
Last updated
04/25/2023
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