Individual
BRENDA KAY VALLANDINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
21 OLANDER DR, NORTHAMPTON, MA 01060-3631
(413) 442-4003
Mailing address
PO BOX 1944, LENOX, MA 01240-4944
(413) 232-3016
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6359
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34361
HEALTH NEW ENGLAND
MA
Enumeration date
11/29/2006
Last updated
11/26/2019
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