Individual
ERIC JAMAL HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
2257 MAIN ST, SPRINGFIELD, MA 01107-1905
(413) 733-3488
(413) 731-7381
Mailing address
2257 MAIN ST, SPRINGFIELD, MA 01107
(413) 733-3488
(413) 731-7381
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
205054049
MA
Other
Enumeration date
02/06/2018
Last updated
02/06/2018
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