Individual
TARA PETROCELLI-MCGLOIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
298 WASHINGTON ST, GLOUCESTER, MA 01930-4832
(978) 283-0296
(978) 283-2665
Mailing address
298 WASHINGTON ST, GLOUCESTER, MA 01930-4832
(978) 283-0296
(978) 283-2665
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/21/2016
Last updated
11/21/2016
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