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Brenden Izayjah Wilson
Counselor in Springfield, Massachusetts
NPI 1467149088

Brenden Izayjah Wilson is a Counselor based in Springfield, MA. Brenden Izayjah Wilson practices in Springfield, MA. The NPI Number for Brenden Izayjah Wilson is 1467149088 and holds a License No. (Massachusetts).

The current practice location address for Brenden Izayjah Wilson is 121 State St Ste 100, Springfield, MA and can be reached out via phone at 413-301-7797 and via fax at 413-301-7896.

Location: 121 State St Ste 100, Springfield, MA, 01103-1109
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467149088
Provider Name
Brenden Izayjah Wilson
Credential
Provider Entity Type
Individual
Gender
Male
Address
121 State St Ste 100, Springfield, MA, 01103-1109
Phone Number
413-301-7797
Fax Number
413-301-7896
Provider Enumeration Date
04/24/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
121 State St Ste 100
City
Springfield
State
Massachusetts
Zip
01103-1986
Phone Number
413-301-7797
Fax Number
413-301-7896
person
Provider Business Mailing Address Details
Address
121 State St Ste 100
City
Springfield
State
Massachusetts
Zip
01103-1986
Phone Number
413-301-7797
Fax Number
413-301-7896
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
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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