Harvey Taylor Wilson, LICSW
NPI #1104307412 in Provincetown, Massachusetts
Provider Information
- NPI Number
- 1104307412
- Entity Type
- Individual
- Name
- Harvey Taylor Wilson, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- LICSW
- Enumeration Date
- Aug 24, 2018
- Last Updated
- Aug 24, 2018
Practice Location
- Address
- 21 BAYBERRY AVE
- City
- Provincetown
- State
- Massachusetts
- ZIP Code
- 02657-1214
- Phone
- (508) 487-2735
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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