Individual provider · Type 1 NPI

Ali Wantimba

Mental Health Counselor · Roxbury, MA

NPI number 1053102434 Active

Practice location

520 Dudley St
Roxbury, MA 02119-2769

Call (781) 885-4264 Map

Mailing address

504 Dudley St
Roxbury, MA 02119-2732

Other practice locations

  • 53 Wentworth St, Malden, MA 02148-5330 · (781) 885-4264

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1053102434

Ali Wantimba's National Provider Identifier is 1053102434, issued on May 14, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Roxbury, MA. The record was last updated on May 14, 2025.