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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

HARVEY TAYLOR WILSON, LICSW

Active Sole Proprietor

HARVEY TAYLOR WILSON, LICSW is a Mental Health Counselor healthcare provider located in PROVINCETOWN, Massachusetts. NPI 1104307412 is currently active in the NPPES registry. Verify at CMS.

Mental Health Counselor · PROVINCETOWN, MA

Registration Details

NPI Number
1104307412
Provider Type
Individual
Gender
Male
NPI Issued
Aug 24, 2018 (7.9519987560032 yrs)
Last Updated
Aug 24, 2018
License
1016242-SW-LICSW (MA)
Sole Proprietor
Yes

Practice Information

Address
21 BAYBERRY AVE
PROVINCETOWN, MA, 026571214
Browse MA providers · Browse ZIP 02657
Phone
5084872735
Primary Specialty
Mental Health Counselor
101YM0800X

Other Mental Health Counselor Providers in PROVINCETOWN, MA

Name Credential NPI
JENNIFER LOUISE SHANNON MSW, LICSW 1528050812
CHELSEA CROWE LMHC 1497342638
TERESA LYNN NEZBETH 1871304659
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.