Individual
EMMETT-LEWIS KEITH WITHERSPOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
29 IONIA ST, SPRINGFIELD, MA 01109-2519
(413) 386-5018
Mailing address
29 IONIA ST, SPRINGFIELD, MA 01109-2519
(413) 386-5018
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
MA
101YS0200X
School Counselor
Primary
—
MA
Other
Enumeration date
05/20/2026
Last updated
05/20/2026
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