Individual
CHRISTINE MORDENTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
80 CONGRESS ST STE 106, SPRINGFIELD, MA 01104-3427
(413) 739-1611
(413) 739-1711
Mailing address
80 CONGRESS ST STE 106, SPRINGFIELD, MA 01104-3427
(413) 739-1611
(413) 739-1711
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
8434
MA
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1300881
—
MA
Enumeration date
08/26/2010
Last updated
04/20/2017
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