Preeyavata Wanapun
NPI #1689955668 in Randolph, Massachusetts
Provider Information
- NPI Number
- 1689955668
- Entity Type
- Individual
- Name
- Preeyavata Wanapun
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Sep 2, 2011
- Last Updated
- Sep 2, 2011
Practice Location
- Address
- 41 PACELLA PARK DR
- City
- Randolph
- State
- Massachusetts
- ZIP Code
- 02368-1755
- Phone
- (781) 440-0400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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