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Individual

MR. RICHARD BRUCE STAPLES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CAGS, LMHC

Contact information

Practice address
28 1/2 PEABODY SQ, PEABODY, MA 01960-5655
(978) 815-1570
(978) 531-6244
Mailing address
8 MARTINACK AVE, PEABODY, MA 01960-6449
(978) 815-1570
(978) 531-6244

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
63
MA
103TS0200X
School Psychologist
Primary
289705
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
9412132
PHCS PROVIDER ID NUMBER
MA
01
LM1224
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
07/07/2006
Last updated
09/11/2025
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