Individual provider · Type 1 NPI
Kevin Wicker, LMHC
Mental Health Counselor · Watertown, MA
NPI number
1124183116
Active
Practice location
8 Bennett Rd
Watertown, MA 02472-3133
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 5171 (MA) |
Mental Health Counselor: Definition to come...
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About NPI 1124183116
Kevin Wicker, LMHC's National Provider Identifier is 1124183116, issued on Dec 27, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Watertown, MA. The record was last updated on Jul 8, 2007.