Individual
BLAKE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
203 EAST ST, EASTHAMPTON, MA 01027-1234
(413) 529-7777
Mailing address
203 EAST ST, EASTHAMPTON, MA 01027-1234
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/10/2025
Last updated
07/10/2025
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