| Individual And Family Counseling Center, Llc | |
|
200 Silver Street 106 Agawam MA 01001-1647 | |
| (413) 789-9198 | |
| (413) 789-6322 |
| Full Name | Individual And Family Counseling Center, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 200 Silver Street, Agawam, Massachusetts |
| Authorized Official Name and Position | Cristina Di Nardo-dupre (SOCIAL WORKER/OWNER) |
| Authorized Official Contact | 4137899198 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Individual And Family Counseling Center, Llc 200 Silver Street 106 Agawam MA 01001-1647 Ph: (413) 789-9198 | Individual And Family Counseling Center, Llc 200 Silver Street 106 Agawam MA 01001-1647 Ph: (413) 789-9198 |
| NPI Number | 1699930370 |
|---|---|
| Provider Enumeration Date | 07/22/2008 |
| Last Update Date | 02/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699930370 | NPI | - | NPPES |
| P04545 | Other | MA | BC/BS |
| 11831 | Other | MA | HEALTH NEW ENGLAND |
| 791017 | Other | MA | TUFTS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 106947 (Massachusetts) | Primary |
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