Individual
MS. ANGELA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
288 CLOVERDALE ST, PITTSFIELD, MA 01201-8518
(410) 591-1169
Mailing address
288 CLOVERDALE ST, PITTSFIELD, MA 01201-8518
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/13/2010
Last updated
07/13/2010
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