| Doctor Name: | DR. JOHN EDWARD BRELSFORD |
| NPI Number: | 1063548162 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PH.D. |
| License Number: | MH 3063 |
| Business Practice Address: | 175 Main St Easthampton, MA - 010272022 |
| Business Phone Number: | 4134331775 |
| Business Fax Number: | |
| Mailing Address: | 418 Southampton Rd, HOLYOKE |
| State: | MA |
| Postal Code: | 010409763 |
| Phone Number: | 4134331775 |
| Fax Number: | |
| NPI Enumeration Date: | 02/26/2007 |
| NPI Last Update Date: | 06/26/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MH 3063 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |