Individual provider · Type 1 NPI
Wyatt Tucker Pasco
Peer Specialist · Concord, MA
NPI number
1194407528
Active
Practice location
76 Gifford Ln
Concord, MA 01742-2235
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | None listed |
Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Another provider at this address
About NPI 1194407528
Wyatt Tucker Pasco's National Provider Identifier is 1194407528, issued on Aug 4, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Concord, MA. The record was last updated on Aug 4, 2023.