Individual
DAVID ANDRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
476 APPLETON ST, HOLYOKE, MA 01040-4186
(413) 315-3194
Mailing address
476 APPLETON ST, HOLYOKE, MA 01040-4186
(413) 315-3194
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
990383803
—
MA
Enumeration date
04/04/2019
Last updated
06/11/2019
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