Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YA0400X | Addiction Counselor (Substance Use Disorder) | MA |
NPI | 1003422866 |
---|---|
Provider Name | Denise Sanchez |
First Address | Holyoke, MA 01040-5381 |
Second Address | Holyoke, MA 01040-5381 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/09/2020 |
Last Update Date | 17/09/2020 |