MEDICARE: MS. BRIDGET MARIE WILCZYNSKI LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	221700000X	Art Therapist
2	101YM0800X	Mental Health Counselor	8129	MA

General Provider Information

NPI Number	:	1629307780
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BRIDGET MARIE WILCZYNSKI LMHC

Provider Business Mailing Address
First Line	:	160 ANDOVER BYPASS
Second Line	:
City	:	NORTH ANDOVER
State	:	MA
Zip	:	01845-5803
Country	:	US
Telephone Number	:	978-967-0027
Fax Number	:

Provider Business Practice Location Address
First Line	:	73 TURNPIKE ST # 1039
Second Line	:
City	:	NORTH ANDOVER
State	:	MA
Zip	:	01845-5045
Country	:	US
Telephone Number	:	978-967-0027
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/18/2009
Last Update Date	:	02/12/2025

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