Individual
JASON DAVID PHELPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
53 EAGLE ST, 1ST FLOOR, PITTSFIELD, MA 01201-5376
(413) 236-5656
(413) 499-6572
Mailing address
85 COLUMBIA ST, ADAMS, MA 01220-1316
(413) 236-5656
(413) 499-6572
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/05/2011
Last updated
07/05/2011
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