Individual provider · Type 1 NPI

Tanya Jacqueline Lungelow

Mental Health Counselor · Walpole, MA

NPI number 1003571969 Active

Practice location

869 Main St Ste 6B
Walpole, MA 02081-2985

Call (781) 269-9978 Map

Mailing address

23 Lindsey St
Boston, MA 02124-1309

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X123456 (MA)

Mental Health Counselor: Definition to come...

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About NPI 1003571969

Tanya Jacqueline Lungelow's National Provider Identifier is 1003571969, issued on Nov 5, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Walpole, MA. The record was last updated on Nov 5, 2021.