Individual provider · Type 1 NPI

Mary Wickramasekera, LCPC

Professional Counselor · Boulder, CO

NPI number 1598544389 Active

Practice location

4725 Spine Rd
Boulder, CO 80301-6747

Call (720) 515-8117 Map

Mailing address

4725 Spine Rd Apt E
Boulder, CO 80301-5343

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X180.015530 (IL)
Professional Counselor Primary 101YP2500XLPC.0019834 (CO)

Professional Counselor: Definition to come...

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About NPI 1598544389

Mary Wickramasekera, LCPC's National Provider Identifier is 1598544389, issued on Sep 21, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Boulder, CO. The record was last updated on Sep 6, 2024.