Individual provider · Type 1 NPI

Tanner Paul Provencher

Mental Health Counselor · Whitinsville, MA

NPI number 1689146490 Active

Practice location

76 Church St
Whitinsville, MA 01588-1464

Call (774) 200-9792 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1689146490

Tanner Paul Provencher's National Provider Identifier is 1689146490, issued on Dec 19, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Whitinsville, MA. The record was last updated on Dec 19, 2018.