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Organization
MENTAL HEALTH THERAPEUTIC INNOVATION
Active
Organization
MENTAL HEALTH THERAPEUTIC INNOVATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS FRANCISCO GONZALEZ COLON (OWNDER)
(413) 210-8800
Entity
Organization
Contact information
Practice address
191 CHESTNUT ST STE 2C, SPRINGFIELD, MA 01103-1512
(413) 210-8800
Mailing address
PO BOX 4149, SPRINGFIELD, MA 01101-4149
(413) 210-8800
(413) 317-7100
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/04/2020
Last updated
06/30/2021
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