| Mmtp | |
|
227 Mill St Springfield MA 01108-1007 | |
| (413) 747-9075 | |
| (413) 747-9075 |
| Full Name | Mmtp |
|---|---|
| Speciality | Counselor |
| Location | 227 Mill St, Springfield, Massachusetts |
| Authorized Official Name and Position | Marcos Jesus Pares (CLINICIAN 1) |
| Authorized Official Contact | 4137479075 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mmtp 65 Pine St Holyoke MA 01040-4105 Ph: (413) 536-2659 | Mmtp 227 Mill St Springfield MA 01108-1007 Ph: (413) 747-9075 |
| NPI Number | 1730398876 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730398876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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