Individual
CHRISTOPHER JOHN FENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
367 PINE ST, SPRINGFIELD, MA 01105-1930
(413) 372-9871
Mailing address
19 GLEN OAK DR, ENFIELD, CT 06082-2603
(860) 803-7468
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MA
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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