Individual provider · Type 1 NPI

Leoni De Vries, B.A.

Mental Health Counselor · Randolph, MA

NPI number 1356772354 Active

Practice location

14 Pacella Park Dr
Randolph, MA 02368-1756

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1356772354

Leoni De Vries, B.A.'s National Provider Identifier is 1356772354, issued on Dec 2, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Randolph, MA. The record was last updated on Dec 2, 2013.