Thomas Wilson is a Counselor based in Holyoke, MA. Thomas Wilson practices in Holyoke, MA. The NPI Number for Thomas Wilson is 1104192780 and holds a License No. (Massachusetts).
The current practice location address for Thomas Wilson is 230 Maple St, Holyoke, MA and can be reached out via phone at 413-322-7380.
Location: 230 Maple St, Holyoke, MA, 01040-5144
Provider Profile Details
NPI Number
1104192780
Provider Name
Thomas Wilson
Credential
Provider Entity Type
Individual
Gender
Male
Address
230 Maple St, Holyoke, MA, 01040-5144
Phone Number
413-322-7380
Fax Number
Provider Enumeration Date
03/28/2012
Last Update Date
03/09/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1303295 | 05 | MA | |
| M18463 | 01 | BLUE CROSS/BLUE SHIELD | |
| 1307576 | 05 | MA | |
| Y10086 | 05 | MA |
Provider Business Practice Location Address Details
Address
230 Maple St
City
State
Zip
01040-5144
Phone Number
413-322-7380
Fax Number
Provider Business Mailing Address Details
Address
230 Maple St
City
State
Zip
01040-5144
Phone Number
413-322-7380
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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