Individual provider · Type 1 NPI
Vivica Wadsworth
Mental Health Counselor · Dade City, FL
NPI number
1548073513
Active
Practice location
14230 Lazee Ln
Dade City, FL 33525-7626
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1548073513
Vivica Wadsworth's National Provider Identifier is 1548073513, issued on Jan 31, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dade City, FL. The record was last updated on Jan 31, 2025.