Organization
CHILD &FAMILY SERVICE OF PIONEER VALLEY, INC
Active
Organization
CHILD &FAMILY SERVICE OF PIONEER VALLEY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE NICOLE THEROUX LMHC (EXECUTIVE DIRECTOR)
(413) 737-1426
Entity
Organization
Contact information
Practice address
367 PINE ST, SPRINGFIELD, MA 01105-1930
(413) 737-1426
(413) 739-9988
Mailing address
367 PINE ST, SPRINGFIELD, MA 01105-1930
(413) 737-1426
(413) 739-9988
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
252Y00000X
Early Intervention Provider Agency
—
MA
Other
Enumeration date
08/11/2006
Last updated
10/22/2007
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