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Individual

MR. DONALD COOMBS JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CAGS, LADC

Contact information

Practice address
1200 CONVERSE ST, LONGMEADOW, MA 01106-1760
(413) 565-5121
(413) 565-5121
Mailing address
PO BOX 245, HAMPDEN, MA 01036-0245
(413) 565-5121
(413) 565-5121

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
000646
CT
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
537
MA

Other

Enumeration date
05/16/2007
Last updated
07/08/2007
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