Individual
KIMBERLY STELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1581 N MAIN ST, PALMER, MA 01069-1232
(413) 283-3267
Mailing address
1581 N MAIN ST, PALMER, MA 01069-1232
(413) 283-3267
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110026265E
—
MA
Enumeration date
06/08/2015
Last updated
09/30/2024
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