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Individual

MS. MARY LOU LUSA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., LMHC

Contact information

Practice address
143 SHAKER RD, EAST LONGMEADOW, MA 01028-2786
(413) 525-1711
(413) 525-1711
Mailing address
35 MAYFIELD ST, SPRINGFIELD, MA 01108-3533
(413) 746-6781
(413) 746-6781

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1684
MA
106H00000X
Marriage & Family Therapist
Primary
636
MA

Other

Enumeration date
12/30/2006
Last updated
09/11/2025
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