person
Harvey Taylor Wilson, LICSW
Mental Health Counselor in Provincetown, Massachusetts
NPI 1104307412

Harvey Taylor Wilson is a Mental Health Counselor based in Provincetown, MA and is specialized in Mental Health. Harvey Taylor Wilson practices in Provincetown, MA and has the professional credentials of LICSW. The NPI Number for Harvey Taylor Wilson is 1104307412 and holds a License No. 1016242-SW-LICSW (Massachusetts).

The current practice location address for Harvey Taylor Wilson is 21 Bayberry Ave, Provincetown, MA and can be reached out via phone at 508-487-2735.

Location: 21 Bayberry Ave, Provincetown, MA, 02657-1214
person
Provider Profile Details
NPI Number
1104307412
Provider Name
Harvey Taylor Wilson
Credential
LICSW
Provider Entity Type
Individual
Gender
Male
Address
21 Bayberry Ave, Provincetown, MA, 02657-1214
Phone Number
508-487-2735
Fax Number
Provider Enumeration Date
08/24/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
21 Bayberry Ave
City
State
Zip
02657-1214
Phone Number
508-487-2735
Fax Number
person
Provider Business Mailing Address Details
Address
21 Bayberry Ave
City
State
Zip
02657-1214
Phone Number
508-487-2735
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
1016242-SW-LICSW (Massachusetts)
Definition
Definition to come...
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