Brenda Michelle Wilson
Individual provider Active NPI Mental Health Counselor · Northbridge, MA
NPI 1528367653 · NPPES record last updated Mar 15, 2011
Key facts
- NPI
- 1528367653
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 229 Pollard Rd
Northbridge, MA 01534-1063 - Phone
- (508) 479-8588
- NPI assigned
- Mar 15, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
229 Pollard Rd
Northbridge, MA 01534-1063
Mailing address
229 Pollard Rd
Northbridge, MA 01534-1063
Phone (508) 479-8588
Other providers in Northbridge, MA
- Mary Sweeney
- Krystina Tejeda
- Wal-Mart Stores East, L.P.
- Katherine Ware
- Danielle Lauren Weber
- Brenda Charlene Zylstra
All providers in Northbridge, MA · Mental Health Counselor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.