Individual
CONNOR EDWARD ENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 FEDERAL ST # B103-1B, SPRINGFIELD, MA 01105-1199
(844) 642-9355
Mailing address
122 BROOKSIDE CIR, SPRINGFIELD, MA 01129-2004
(727) 772-3793
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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