person
Mr. Shabazz M Wilson, MED
Mental Health Counselor in Springfield, Massachusetts
NPI 1841358322

Shabazz M Wilson is a Mental Health Counselor based in Springfield, MA and is specialized in Mental Health. Shabazz M Wilson practices in Springfield, MA and has the professional credentials of MED. The NPI Number for Shabazz M Wilson is 1841358322 and holds a License No. (Massachusetts).

The current practice location address for Shabazz M Wilson is 110 Maple St, Springfield, MA and can be reached out via phone at 413-732-7419. You can also correspond with Shabazz M Wilson through the mailing address at 26 NORTHUMBERLAND ST, SPRINGFIELD, MA - 01109-2606 (mailing address contact number: ).

Location: 110 Maple St, Springfield, MA, 01109-2606
person
Provider Profile Details
NPI Number
1841358322
Provider Name
Shabazz M Wilson
Credential
MED
Provider Entity Type
Individual
Gender
Male
Address
110 Maple St, Springfield, MA, 01109-2606
Phone Number
413-732-7419
Fax Number
Provider Enumeration Date
12/05/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
110 Maple St
City
State
Zip
01105-1864
Phone Number
413-732-7419
Fax Number
person
Provider Business Mailing Address Details
Address
110 Maple St
City
State
Zip
01105-1864
Phone Number
413-732-7419
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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