Individual provider · Type 1 NPI
Carrie Wicks
Mental Health Counselor · Watertown, MA
NPI number
1053138123
Active
Practice location
111 Harnden Ave
Watertown, MA 02472-3345
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LMHC10001478 (MA) |
Mental Health Counselor: Definition to come...
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About NPI 1053138123
Carrie Wicks's National Provider Identifier is 1053138123, issued on Sep 20, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Watertown, MA. The record was last updated on Sep 20, 2024.