Most Relevant Information
Provider Data
| NPI Number: | 1003517418 |
| Provider Name: | OLIVIA WINGERATH LMHC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 012522 |
Most Important Dates
| Enumeration Date: | 03/13/2023 |
| Last Updated: | 03/13/2023 |
Provider Practice Location
586 PROSPECT PL APT 1C
BROOKLYN
NY
112384219
Practice Location Phone/Fax
| Phone: | 6465991932 |
| Fax: |
Provider Mailing Location
586 PROSPECT PL APT 1C
BROOKLYN
NY
112384219
Provider Mailing Phone/Fax
| Phone: | 6465991932 |
| Fax: |