| Deborah Becerra Clinical Services Llc | |
|
348 Hatfield St Apt C Northampton MA 01060-1550 | |
| (413) 885-1099 | |
| Not Available |
| Full Name | Deborah Becerra Clinical Services Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 348 Hatfield St Apt C, Northampton, Massachusetts |
| Authorized Official Name and Position | Deborah Becerra (OWNER/PROVICER) |
| Authorized Official Contact | 4138851099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Deborah Becerra Clinical Services Llc 348 Hatfield St Apt C Northampton MA 01060-1550 Ph: (413) 885-1099 | Deborah Becerra Clinical Services Llc 348 Hatfield St Apt C Northampton MA 01060-1550 Ph: (413) 885-1099 |
| NPI Number | 1720668569 |
|---|---|
| Provider Enumeration Date | 04/14/2021 |
| Last Update Date | 04/14/2021 |
| Certification Date | 04/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720668569 | NPI | - | NPPES |
| 12212 | Other | MA | LICENSED MENTAL HEALTH COUNSELOR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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