Individual provider · Type 1 NPI

Tyler Wansley

Mental Health Counselor · Waltham, MA

NPI number 1477330355 Active

Practice location

409 Lexington St
Waltham, MA 02452-0933

Mailing address

10 Guest St
Boston, MA 02135-2066

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1477330355

Tyler Wansley's National Provider Identifier is 1477330355, issued on Sep 13, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Waltham, MA. The record was last updated on Sep 13, 2023.