Individual provider · Type 1 NPI

Tatyana Li Lugo-Gardner

Mental Health Counselor · Fitchburg, MA

NPI number 1720767288 Active

Practice location

326 Nichols Rd
Fitchburg, MA 01420-1914

Mailing address

57 Blood Rd
Charlton, MA 01507-5129

Specialties and licenses

TaxonomyCodeLicense
Art Therapist 221700000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1720767288

Tatyana Li Lugo-Gardner's National Provider Identifier is 1720767288, issued on Jul 12, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fitchburg, MA. The record was last updated on Jul 12, 2023.