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Individual

MR. DERRICK LEE COTNOIR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BA

Contact information

Practice address
8 ATWOOD DR STE 201, NORTHAMPTON, MA 01060-4266
(413) 582-0471
Mailing address
217 STATE ST # 2, NORTHAMPTON, MA 01060-2244
(603) 219-5451

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
09/28/2017
Last updated
09/28/2017
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