Individual
DIANE M. BLOKLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
503 STATE ST, SPRINGFIELD, MA 01109-4101
(413) 733-6661
(413) 733-7841
Mailing address
418 MEADOW ST, AGAWAM, MA 01001-2219
(413) 786-6746
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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