Individual provider · Type 1 NPI
Ian Gerek Iwanicki
Mental Health Counselor · Boston, MA
NPI number
1053135087
Active
Practice location
867 Boylston Street, 5th Floor #2050
Boston, MA 02116
Fax (857) 264-5776
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 1053135087
Ian Gerek Iwanicki's National Provider Identifier is 1053135087, issued on Nov 15, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boston, MA. The record was last updated on Nov 15, 2024.