Individual provider · Type 1 NPI
Harvey Taylor Wilson, LICSW
Mental Health Counselor · Provincetown, MA
NPI number
1104307412
Active
Practice location
21 Bayberry Ave
Provincetown, MA 02657-1214
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 1016242-SW-LICSW (MA) |
Mental Health Counselor: Definition to come...
Other mental health counselor providers in Provincetown
About NPI 1104307412
Harvey Taylor Wilson, LICSW's National Provider Identifier is 1104307412, issued on Aug 24, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Provincetown, MA. The record was last updated on Aug 24, 2018.