Individual
MR. JOHN R. MADSEN-BIBEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., LMFT
Contact information
Practice address
157 GRAPE STREET, RIVER VALLEY COUNSELING, CHICOPEE, MA 01030
(413) 594-2141
Mailing address
160 EDGEMERE AVE, WEST HARTFORD, CT 06110-1004
(860) 231-7138
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
—
CA
106H00000X
Marriage & Family Therapist
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43935
AAMFT MEMBER #
—
Enumeration date
05/23/2007
Last updated
07/08/2007
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