Individual provider · Type 1 NPI

Viviane Prodonoff Lally, M. A.

Mental Health Counselor · Worcester, MA

NPI number 1083934574 Active

Practice location

340 Main St, Suite 383
Worcester, MA 01608-1604

Call (774) 245-7170 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1083934574

Viviane Prodonoff Lally, M. A.'s National Provider Identifier is 1083934574, issued on Jun 7, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Worcester, MA. The record was last updated on Jun 7, 2010.