Mr. Tanner Paul Provencher
Mr. Tanner Paul Provencher is a Mental Health Counselor in Whitinsville, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2018.
- Licensed in
- MA
- In the registry since
- 2018
Practice location Address checks out
76 Church StWhitinsville, MA 01588-1464
Phone: (774) 200-9792
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X (MA) |
|---|
Record details
| NPI number | 1689146490 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 19, 2018 |
| Last updated in NPPES | December 19, 2018 |
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