TANNER PROVENCHER

Mental Health Counselor

NPI: 1689146490Individual

Specialties, Licenses & Credentials

Mental Health CounselorPrimary

Counselor — Mental Health

Code: 101YM0800X

Contact & Hours

Address: 76 CHURCH ST
WHITINSVILLE, MA 01588
Phone: (774) 200-9792

Quick Facts

NPI: 1689146490
Entity Type: Individual
Gender: Male
Medicare: Not confirmed
Specialties: 1
Locations: 1

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