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Organization
INDIVIDUAL AND FAMILY COUNSELING CENTER, LLC
Active
Organization
INDIVIDUAL AND FAMILY COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CRISTINA DI NARDO-DUPRE LICSW (SOCIAL WORKER/OWNER)
(413) 789-9198
Entity
Organization
Contact information
Practice address
200 SILVER STREET, 106, AGAWAM, MA 01001-1647
(413) 789-9198
(413) 789-6322
Mailing address
200 SILVER STREET, 106, AGAWAM, MA 01001-1647
(413) 789-9198
(413) 789-6322
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
106947
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11831
HEALTH NEW ENGLAND
MA
01
—
791017
TUFTS
MA
01
—
P04545
BC/BS
MA
Enumeration date
07/22/2008
Last updated
02/16/2009
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