MR. Tanner Paul Provencher
NPI #1689146490 in Whitinsville, Massachusetts
Provider Information
- NPI Number
- 1689146490
- Entity Type
- Individual
- Name
- MR. Tanner Paul Provencher
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Dec 19, 2018
- Last Updated
- Dec 19, 2018
Practice Location
- Address
- 76 CHURCH ST
- City
- Whitinsville
- State
- Massachusetts
- ZIP Code
- 01588-1464
- Phone
- (774) 200-9792
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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