Individual
MS. COURTNEY ALYSSA CIRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
576 STATE ST, SPRINGFIELD, MA 01109-4104
(413) 781-6485
Mailing address
576 STATE ST, SPRINGFIELD, MA 01109-4104
(413) 781-6485
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10234
MA
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110028012/A
—
MA
Enumeration date
01/29/2015
Last updated
12/06/2023
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