Individual
CRYSTAL KATHLEEN BIANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPS
Contact information
Practice address
395 LIBERTY ST, SPRINGFIELD, MA 01104-3779
(413) 272-1333
Mailing address
395 LIBERTY ST, SPRINGFIELD, MA 01104-3779
(413) 301-2278
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
02/20/2024
Last updated
02/20/2024
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