Healthcare Provider Details

I. General information

NPI: 1770415366
Provider Name (Legal Business Name): DR. CHRISTIAN L ESCALONA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2026
Last Update Date: 05/30/2026
Certification Date: 05/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

179 NORTHAMPTON ST
EASTHAMPTON MA
01027-1057
US

IV. Provider business mailing address

179 NORTHAMPTON ST
EASTHAMPTON MA
01027-1057
US

V. Phone/Fax

Practice location:
  • Phone: 413-529-1764
  • Fax:
Mailing address:
  • Phone: 413-529-1764
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: