Individual
LELLYS NAZARIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
125 LIBERTY ST STE 100, SPRINGFIELD, MA 01103-1109
(413) 301-7797
(413) 301-7896
Mailing address
125 LIBERTY ST STE 100, SPRINGFIELD, MA 01103-1109
(413) 301-7797
(413) 301-7896
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/03/2020
Last updated
10/03/2020
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