Individual provider · Type 1 NPI
Kristina L. Wyman
Mental Health Counselor · Brockton, MA
NPI number
1043854466
Active
Practice location
77 Hillcrest Ave
Brockton, MA 02301-1458
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1043854466
Kristina L. Wyman's National Provider Identifier is 1043854466, issued on Oct 29, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Brockton, MA. The record was last updated on Oct 29, 2019.