Individual
ANTONIO VALLE-MILETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 MAPLE ST, SPRINGFIELD, MA 01103-2203
(413) 846-0445
(413) 846-0447
Mailing address
120 MAPLE ST, SPRINGFIELD, MA 01103-2203
(413) 846-0445
(413) 846-0447
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1303295
—
MA
05
—
1307576
—
MA
01
—
M18463
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
12/28/2009
Last updated
07/27/2012
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