person
Mr. Kenneth Jerome Wilson II
Counselor in Springfield, Massachusetts
NPI 1336506641

Kenneth Jerome Wilson II is a Counselor based in Springfield, MA. Kenneth Jerome Wilson II practices in Springfield, MA. The NPI Number for Kenneth Jerome Wilson II is 1336506641 and holds a License No. (Massachusetts).

The current practice location address for Kenneth Jerome Wilson II is 5 Lavender Ln, Springfield, MA and can be reached out via phone at 413-315-7689.

Location: 5 Lavender Ln, Springfield, MA, 01129-1708
person
Provider Profile Details
NPI Number
1336506641
Provider Name
Kenneth Jerome Wilson II
Credential
Provider Entity Type
Individual
Gender
Male
Address
5 Lavender Ln, Springfield, MA, 01129-1708
Phone Number
413-315-7689
Fax Number
Provider Enumeration Date
01/19/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5 Lavender Ln
City
State
Zip
01129-1708
Phone Number
413-315-7689
Fax Number
person
Provider Business Mailing Address Details
Address
5 Lavender Ln
City
State
Zip
01129-1708
Phone Number
413-315-7689
Fax Number
person
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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