Individual provider · Type 1 NPI
Wanda Casillas
Professional Counselor · Randolph, MA
NPI number
1770069676
Active
Practice location
400 N Main St
Randolph, MA 02368-4104
Mailing address
16 Station St
Attleboro, MA 02703-2566
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1770069676
Wanda Casillas's National Provider Identifier is 1770069676, issued on Jul 13, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Randolph, MA. The record was last updated on Jul 13, 2018.