Individual
MRS. AMANDA JEAN JACQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
30 MARY ST, CHICOPEE, MA 01020-1110
(413) 531-9218
Mailing address
20 MILL RD, NORTH BROOKFIELD, MA 01535-1213
(508) 637-1444
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6633
MA
Other
Enumeration date
11/30/2006
Last updated
01/26/2024
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