Individual
MRS. CAROL A. WAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, LMFT
Contact information
Practice address
157 GREEN ST, JAMAICA PLAIN, MA 02130-2667
(617) 983-5828
(617) 983-5840
Mailing address
362 TAPPAN ST, BROOKLINE, MA 02445-5352
(617) 983-5828
(617) 983-5840
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
329 AND 560
MA
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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