Provider Demographics
NPI:1962920132
Name:GROSS, ZACHARY BENJAMIN (LMHC)
Entity type:Individual
Prefix:
First Name:ZACHARY
Middle Name:BENJAMIN
Last Name:GROSS
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 W CENTRAL ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:FRANKLIN
Mailing Address - State:MA
Mailing Address - Zip Code:02038
Mailing Address - Country:US
Mailing Address - Phone:781-742-4515
Mailing Address - Fax:508-377-3752
Practice Address - Street 1:233 W CENTRAL ST
Practice Address - Street 2:SUITE 3
Practice Address - City:FRANKLIN
Practice Address - State:MA
Practice Address - Zip Code:02038
Practice Address - Country:US
Practice Address - Phone:781-742-4515
Practice Address - Fax:508-377-3752
Is Sole Proprietor?:No
Enumeration Date:2017-09-07
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor