Individual provider · Type 1 NPI

Tanisha Davila

Mental Health Counselor · Fitchburg, MA

NPI number 1780076414 Active

Practice location

63 Fairmount St
Fitchburg, MA 01420-7613

Call (978) 342-2709 Map

Mailing address

250 Whitney St Apt 604
Leominster, MA 01453-3263

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1780076414

Tanisha Davila's National Provider Identifier is 1780076414, issued on Mar 4, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fitchburg, MA. The record was last updated on Mar 4, 2015.