Provider Demographics
NPI:1760565535
Name:WIGOZKI, HUGO (LMHC)
Entity Type:Individual
Prefix:
First Name:HUGO
Middle Name:
Last Name:WIGOZKI
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 SUNRISE RD
Mailing Address - Street 2:
Mailing Address - City:WESTWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02090-3313
Mailing Address - Country:US
Mailing Address - Phone:781-255-9560
Mailing Address - Fax:
Practice Address - Street 1:117 SUNRISE RD
Practice Address - Street 2:
Practice Address - City:WESTWOOD
Practice Address - State:MA
Practice Address - Zip Code:02090-3313
Practice Address - Country:US
Practice Address - Phone:781-255-9560
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAMH5659101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health