Wyatt Coulon, LCSW is a mental health counselor in Portland, ME. Wyatt Coulon, LCSW NPI is 1649912999. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
22 BRAMHALL ST
PORTLAND, ME
ZIP 04102-175
Phone: (207) 662-1888
The NPI 1649912999 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.
The enumeration date for this NPI number is 4/8/2022 and was last updated on 4/8/2022.