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Jevan Whitaker
Mental Health Counselor in Springfield, Massachusetts
NPI 1629350616

Jevan Whitaker is a Mental Health Counselor based in Springfield, MA and is specialized in Mental Health. Jevan Whitaker practices in Springfield, MA. The NPI Number for Jevan Whitaker is 1629350616 and holds a License No. (Massachusetts).

The current practice location address for Jevan Whitaker is 130 Maple St Ste 325, Springfield, MA and can be reached out via phone at 413-737-9544.

Location: 130 Maple St Ste 325, Springfield, MA, 01103-2215
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629350616
Provider Name
Jevan Whitaker
Credential
Provider Entity Type
Individual
Gender
Female
Address
130 Maple St Ste 325, Springfield, MA, 01103-2215
Phone Number
413-737-9544
Fax Number
Provider Enumeration Date
09/15/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
130 Maple St Ste 325
City
Springfield
State
Massachusetts
Zip
01103-2215
Phone Number
413-737-9544
Fax Number
person
Provider Business Mailing Address Details
Address
130 Maple St Ste 325
City
Springfield
State
Massachusetts
Zip
01103-2215
Phone Number
413-737-9544
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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