Individual
ADISA HAZNADAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
263 ALDEN ST # 2991, SPRINGFIELD, MA 01109-3707
(301) 503-7624
Mailing address
263 ALDEN ST # 2991, SPRINGFIELD, MA 01109-3707
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2014
Last updated
04/15/2014
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