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Tanya Jacqueline Lungelow
Mental Health Counselor in Walpole, Massachusetts
NPI 1003571969

Tanya Jacqueline Lungelow is a Mental Health Counselor based in Boston, MA and is specialized in Mental Health. Tanya Jacqueline Lungelow practices in Walpole, MA. The NPI Number for Tanya Jacqueline Lungelow is 1003571969 and holds a License No. 123456 (Massachusetts).

The current practice location address for Tanya Jacqueline Lungelow is 869 Main St Ste 6B, Walpole, MA and can be reached out via phone at 781-269-9978.

Location: 869 Main St Ste 6B, Walpole, MA, 02124-1309
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003571969
Provider Name
Tanya Jacqueline Lungelow
Credential
Provider Entity Type
Individual
Gender
Female
Address
869 Main St Ste 6B, Walpole, MA, 02124-1309
Phone Number
781-269-9978
Fax Number
Provider Enumeration Date
11/05/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
869 Main St Ste 6B
City
Walpole
State
Massachusetts
Zip
02081-2985
Phone Number
781-269-9978
Fax Number
person
Provider Business Mailing Address Details
Address
869 Main St Ste 6B
City
Walpole
State
Massachusetts
Zip
02081-2985
Phone Number
781-269-9978
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
123456 (Massachusetts)
Definition
Definition to come...
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