Individual
JEREMY BRYAN LIPKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CARC
Contact information
Practice address
1221 MAIN ST STE 309, HOLYOKE, MA 01040-5396
(413) 316-1446
Mailing address
102 MAIN ST, GREENFIELD, MA 01301-3224
(413) 333-9677
(413) 773-0477
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
11/30/2018
Last updated
11/30/2018
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