Individual
ANDREA WILDPANNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29 N MAIN ST, FLORENCE, MA 01062-1287
(413) 586-5382
Mailing address
29 N MAIN ST, FLORENCE, MA 01062-1287
(413) 586-5382
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
08/28/2014
Last updated
08/28/2014
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