Individual provider · Type 1 NPI

Carol A. Wayne, LMHC, LMFT

Mental Health Counselor · Jamaica Plain, MA

NPI number 1063557965 Active

Practice location

157 Green St
Jamaica Plain, MA 02130-2667

Fax (617) 983-5840

Mailing address

362 Tappan St
Brookline, MA 02445-5352

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X329 AND 560 (MA)

Mental Health Counselor: Definition to come...

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About NPI 1063557965

Carol A. Wayne, LMHC, LMFT's National Provider Identifier is 1063557965, issued on Feb 20, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Jamaica Plain, MA. The record was last updated on Jul 8, 2007.