NPI 1003571969

Tanya Jacqueline Lungelow

Practitioner Mental Health Counselor Walpole, MA

Practice location

Address: 869 Main St STE 6b, Walpole, MA 02081-2985
Phone: (781) 269-9978
Mailing address: 23 Lindsey St, Boston, MA 02124-1309

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence 123456 (MA)

Other Counselor providers in Massachusetts →

Registry record

NPI: 1003571969
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Nov 2021
Record last updated: 5 Nov 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.