Provider Demographics
NPI:1235872326
Name:WOLEN, ANNA (LMHC, ATR)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:WOLEN
Suffix:
Gender:F
Credentials:LMHC, ATR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:412 MERIDIAN ST UNIT 3
Mailing Address - Street 2:
Mailing Address - City:EAST BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02128-3397
Mailing Address - Country:US
Mailing Address - Phone:203-273-4853
Mailing Address - Fax:
Practice Address - Street 1:412 MERIDIAN ST UNIT 3
Practice Address - Street 2:
Practice Address - City:EAST BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02128-3397
Practice Address - Country:US
Practice Address - Phone:203-273-4853
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-16
Last Update Date:2022-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist