Doctor Name: | MS. KAREN PERRY WILSON |
NPI Number: | 1427264100 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC LADCI MED CAGS |
License Number: | LMHC4821 |
Business Practice Address: | 1233 Main St Providence Behavioral Health Hospital Holyoke, MA - 01040 |
Business Phone Number: | 4135892853 |
Business Fax Number: | 4134932783 |
Mailing Address: | 9 Jessie Lane, EAST HAMPTON |
State: | MA |
Postal Code: | 010272121 |
Phone Number: | 4135273832 |
Fax Number: | |
NPI Enumeration Date: | 05/16/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LMHC4821 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |