Individual
AMY DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
628 CENTER ST, CHICOPEE, MA 01013-1589
(413) 746-0051
Mailing address
246 PARK ST, WEST SPRINGFIELD, MA 01089-3314
(413) 737-4718
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
124219
MA
Other
Enumeration date
01/08/2014
Last updated
10/12/2021
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