Wanda Casillas

NPI #1770069676 in Randolph, Massachusetts

Provider Information

NPI Number: 1770069676
Entity Type: Individual
Name: Wanda Casillas
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Enumeration Date: Jul 13, 2018
Last Updated: Jul 13, 2018

Practice Location

Address: 400 N MAIN ST
City: Randolph
State: Massachusetts
ZIP Code: 02368-4104
Phone: (781) 986-4800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Professional — Professional	101YP2500X	Primary

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