person
Tanisha Renee Wilson, LMHC
Mental Health Counselor in Medford, Massachusetts
NPI 1497050272

Tanisha Renee Wilson is a Mental Health Counselor based in Medford, MA and is specialized in Mental Health. Tanisha Renee Wilson practices in Medford, MA and has the professional credentials of LMHC. The NPI Number for Tanisha Renee Wilson is 1497050272 and holds a License No. (Massachusetts).

The current practice location address for Tanisha Renee Wilson is 5 High St Ste 101, Medford, MA and can be reached out via phone at 781-338-2640 and via fax at 781-338-2217.

Location: 5 High St Ste 101, Medford, MA, 02155-3800
person
Provider Profile Details
NPI Number
1497050272
Provider Name
Tanisha Renee Wilson
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
5 High St Ste 101, Medford, MA, 02155-3800
Phone Number
781-338-2640
Fax Number
781-338-2217
Provider Enumeration Date
01/25/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5 High St Ste 101
City
State
Zip
02155-3800
Phone Number
781-338-2640
Fax Number
781-338-2217
person
Provider Business Mailing Address Details
Address
5 High St Ste 101
City
State
Zip
02155-3800
Phone Number
781-338-2640
Fax Number
781-338-2217
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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