Individual
AMALIA DEJESUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
417 LIBERTY ST STE 2, SPRINGFIELD, MA 01104-3766
(413) 301-9406
Mailing address
417 LIBERTY ST STE 2, SPRINGFIELD, MA 01104-3766
(413) 301-9406
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMHC10005087
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000000
—
MA
Enumeration date
05/05/2022
Last updated
10/22/2025
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