Organization
THERAPEUTIC BEHAVIORAL INTERVENTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTEN ANN KOCOT M.A., LMHC (CEO/FOUNDER)
(413) 348-6967
Entity
Organization
Contact information
Practice address
159 MAIN ST STE M, AGAWAM, MA 01001-1804
(413) 348-6967
Mailing address
159 MAIN ST STE M, AGAWAM, MA 01001-1804
(413) 348-6967
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/18/2018
Last updated
07/18/2018
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