Individual
AMANDA PURCHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 MAPLE ST, SPRINGFIELD, MA 01105-1864
(413) 313-6743
Mailing address
110 MAPLE ST, SPRINGFIELD, MA 01105-1864
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110026265E
—
MA
Enumeration date
05/25/2012
Last updated
07/09/2014
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