Individual provider · Type 1 NPI
Marc Henry Rodolph Vante
Mental Health Counselor · Quincy, MA
NPI number
1619442605
Active
Practice location
500 Victory Rd
Quincy, MA 02171-3139
Fax (617) 774-1490
Mailing address
1608 River St Apt 310
Hyde Park, MA 02136-2069
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1619442605
Marc Henry Rodolph Vante's National Provider Identifier is 1619442605, issued on Oct 5, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Quincy, MA. The record was last updated on Oct 5, 2018.