Individual provider · Type 1 NPI

Jestina Walcott

Mental Health Counselor · Lawrence, MA

NPI number 1144570102 Active

Practice location

12 Methuen St
Lawrence, MA 01840-1700

Fax (978) 682-9333

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1144570102

Jestina Walcott's National Provider Identifier is 1144570102, issued on Sep 17, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lawrence, MA. The record was last updated on Sep 17, 2012.