person
Wyatt Tucker Pasco
Peer Specialist in Concord, Massachusetts
NPI 1194407528

Wyatt Tucker Pasco is a Peer Specialist based in Concord, MA. Wyatt Tucker Pasco practices in Concord, MA. The NPI Number for Wyatt Tucker Pasco is 1194407528 and holds a License No. (Massachusetts).

The current practice location address for Wyatt Tucker Pasco is 76 Gifford Ln, Concord, MA and can be reached out via phone at 617-800-6697. You can also correspond with Wyatt Tucker Pasco through the mailing address at 76 GIFFORD LN, CONCORD, MA - 01742-2235 (mailing address contact number: 617-800-6697).

Location: 76 Gifford Ln, Concord, MA, 01742-2235
person
Provider Profile Details
NPI Number
1194407528
Provider Name
Wyatt Tucker Pasco
Credential
Provider Entity Type
Individual
Gender
Male
Address
76 Gifford Ln, Concord, MA, 01742-2235
Phone Number
617-800-6697
Fax Number
Provider Enumeration Date
08/04/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
76 Gifford Ln
City
State
Zip
01742-2235
Phone Number
617-800-6697
Fax Number
person
Provider Business Mailing Address Details
Address
76 Gifford Ln
City
State
Zip
01742-2235
Phone Number
617-800-6697
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
(Oregon)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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