Individual
PAUL SUPRANOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
961 DALTON AVE, PITTSFIELD, MA 01201-2903
(413) 446-6311
Mailing address
961 DALTON AVE, PITTSFIELD, MA 01201-2903
(413) 446-6311
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0999
MA
Other
Enumeration date
01/13/2023
Last updated
01/13/2023
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