Individual provider · Type 1 NPI

Brenden Izayjah Wilson

Counselor · Springfield, MA

NPI number 1467149088 Active

Practice location

121 State St Ste 100
Springfield, MA 01103-1986

Call (413) 301-7797 Map

Fax (413) 301-7896

Mailing address

125 Liberty St Ste 100
Springfield, MA 01103-1109

Other practice locations

  • 125 Liberty St Ste 100, Springfield, MA 01103-1109 · (413) 301-7797
  • 125 Liberty St Ste 100, Springfield, MA 01103-1109 · (413) 301-7797

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: 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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About NPI 1467149088

Brenden Izayjah Wilson's National Provider Identifier is 1467149088, issued on Apr 24, 2023. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Springfield, MA. The record was last updated on Apr 24, 2023.