Individual
BERTHA SOLEDAD THORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
319 BEECH ST, HOLYOKE, MA 01040-3968
(413) 540-1234
Mailing address
34 HOCKANUM RD, NORTHAMPTON, MA 01060-2527
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S19989835
DRIVER LICENSE
MA
Enumeration date
09/19/2018
Last updated
09/19/2018
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