Individual provider · Type 1 NPI
Crystal Nico, LCSW
Mental Health Counselor · Pawtucket, RI
NPI number
1174090104
Active
Practice location
184 School St
Pawtucket, RI 02860-5322
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | CSW01583 (RI) |
Mental Health Counselor: Definition to come...
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About NPI 1174090104
Crystal Nico, LCSW's National Provider Identifier is 1174090104, issued on Oct 29, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pawtucket, RI. The record was last updated on Sep 29, 2026.