Individual
KRISTINA VASSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
420 MAIN ST STE 15, WALPOLE, MA 02081-3753
(508) 660-1666
(508) 660-1666
Mailing address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 471-7791
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
2290360
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2021028901
MA
Other
Enumeration date
07/06/2020
Last updated
11/22/2021
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