Provider Demographics
NPI:1497412845
Name:WIKE-HALLAB, KERRI A (MA, LMHC, NCC, CCMHC)
Entity type:Individual
Prefix:
First Name:KERRI
Middle Name:A
Last Name:WIKE-HALLAB
Suffix:
Gender:F
Credentials:MA, LMHC, NCC, CCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 CHURCH ST UNIT 3
Mailing Address - Street 2:
Mailing Address - City:ROCKLAND
Mailing Address - State:MA
Mailing Address - Zip Code:02370-1884
Mailing Address - Country:US
Mailing Address - Phone:339-933-6151
Mailing Address - Fax:
Practice Address - Street 1:42 CHURCH ST UNIT 3
Practice Address - Street 2:
Practice Address - City:ROCKLAND
Practice Address - State:MA
Practice Address - Zip Code:02370-1884
Practice Address - Country:US
Practice Address - Phone:339-933-6151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-19
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALMHC100002486101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health