Individual
PATRICK LANDRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
417 LIBERTY ST, SPRINGFIELD, MA 01104-3736
(413) 301-9406
Mailing address
417 LIBERTY STREET, SPRINGFIELD, MA 01104
(413) 301-9406
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
06/12/2013
Last updated
11/06/2014
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