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Wanda Lynn Laine, CAP
Addiction (Substance Use Disorder) Counselor in Lowell, Massachusetts
NPI 1871001594

Wanda Lynn Laine is an Addiction (Substance Use Disorder) Counselor based in Hudson, MA and is specialized in Addiction (Substance Use Disorder). Wanda Lynn Laine practices in Lowell, MA and has the professional credentials of CAP. The NPI Number for Wanda Lynn Laine is 1871001594 and holds a License No. CAP100114 (Massachusetts).

The current practice location address for Wanda Lynn Laine is 650 Suffolk St, Lowell, MA and can be reached out via phone at 978-452-5155.

Location: 650 Suffolk St, Lowell, MA, 03051-4743
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871001594
Provider Name
Wanda Lynn Laine
Credential
CAP
Provider Entity Type
Individual
Gender
Female
Address
650 Suffolk St, Lowell, MA, 03051-4743
Phone Number
978-452-5155
Fax Number
Provider Enumeration Date
01/16/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
650 Suffolk St
City
Lowell
State
Massachusetts
Zip
01854-3642
Phone Number
978-452-5155
Fax Number
person
Provider Business Mailing Address Details
Address
650 Suffolk St
City
Lowell
State
Massachusetts
Zip
01854-3642
Phone Number
978-452-5155
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
CAP100114 (Florida)
Definition
Definition to come...
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