Individual provider · Type 1 NPI

Preeyavata Wanapun

Mental Health Counselor · Randolph, MA

NPI number 1689955668 Active

Practice location

41 Pacella Park Dr
Randolph, MA 02368-1755

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1689955668

Preeyavata Wanapun's National Provider Identifier is 1689955668, issued on Sep 2, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Randolph, MA. The record was last updated on Sep 2, 2011.