Individual
BIANCA PAOLA GONZALEZ PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2155 MAIN ST, SPRINGFIELD, MA 01104-3394
(413) 736-0395
Mailing address
147 NORMAN ST, WEST SPRINGFIELD, MA 01089-5003
(413) 296-6181
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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