Individual
MR. ADAM H WANNIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
572 MAIN STREET, SUITE 3, WEST YARMOUTH, MA 02673-4909
(508) 340-0847
(508) 790-8301
Mailing address
142 HOLLOW RUN DRIVE, CENTERVILLE, MA 02632
(508) 340-0847
(508) 437-0239
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5032
MA
Other
Enumeration date
12/24/2007
Last updated
12/24/2007
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