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Organization
LEAVES OF CHANGE COUNSELING LLC
Active
Organization
LEAVES OF CHANGE COUNSELING LLC
Active
Parent organization
LEAVES OF CHANGE COUNSELING LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEAVES OF CHANGE COUNSELING LLC
Authorized official
DR. STEPHANIE JORDAN LMHC (OWNER)
(413) 636-3829
Entity
Organization
Contact information
Practice address
16 CENTER ST STE 517, NORTHAMPTON, MA 01060-3589
(413) 636-3829
Mailing address
16 CENTER ST STE 517, NORTHAMPTON, MA 01060-3589
(413) 636-3829
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/25/2019
Last updated
11/25/2019
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