Individual
BRANDON BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
303 BEECH ST, HOLYOKE, MA 01040-3968
(413) 540-1234
Mailing address
417 LIBERTY ST, SPRINGFIELD, MA 01104-3736
(413) 747-0705
(413) 732-7075
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/04/2023
Last updated
11/06/2023
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