Individual
NAADIA BACCHUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
319 BEECH ST, HOLYOKE, MA 01040-3925
(413) 540-1155
Mailing address
31 PETTICOAT HILL RD, WILLIAMSBURG, MA 01096
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5168
MA
Other
Enumeration date
03/24/2009
Last updated
03/24/2009
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