Provider Demographics
NPI:1720299365
Name:EWICK, KARA ANN (LMHC)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:ANN
Last Name:EWICK
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:191 PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01545-2038
Mailing Address - Country:US
Mailing Address - Phone:508-523-6427
Mailing Address - Fax:
Practice Address - Street 1:20 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:MA
Practice Address - Zip Code:01749-2410
Practice Address - Country:US
Practice Address - Phone:978-562-5720
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2013-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health