Provider Demographics
NPI:1871485375
Name:VAINGA, WAITTA KAMARA
Entity type:Individual
Prefix:
First Name:WAITTA
Middle Name:KAMARA
Last Name:VAINGA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 JACKMAN DR
Mailing Address - Street 2:
Mailing Address - City:BUDA
Mailing Address - State:TX
Mailing Address - Zip Code:78610-4573
Mailing Address - Country:US
Mailing Address - Phone:603-748-6536
Mailing Address - Fax:
Practice Address - Street 1:991 PROVIDENCE HWY # 1168
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-5001
Practice Address - Country:US
Practice Address - Phone:774-381-9648
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor