Kevin Wicker, LMHC
Counselor, Mental Health in Watertown, MA. Individual provider (NPI-1).
NPI number1124183116
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1124183116
- Entity type
- Individual (NPI-1)
- Name
- Kevin Wicker
- Credential
- LMHC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 27, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 5171 | MA | Yes |
Practice location
8 Bennett RdWatertown, MA 02472-3133
Phone 617-926-2638
Mailing address
8 Bennett RdWatertown, MA 02472-3133
Phone 617-926-2638
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All 74 Mental Health Counselor providers in Watertown · All 1,107 providers in Watertown
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