Organization
NIKKI WETHERELL COUNSELING
Active
Other names
Virago Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE YARDY LCPC (OWNER)
(207) 558-5539
Entity
Organization
Contact information
Practice address
63 OCEAN ST, PORTLAND, ME 04106
(207) 558-5539
Mailing address
174 BLACKSTRAP RD, FALMOUTH, ME 04105-2415
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/20/2018
Last updated
04/23/2024
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