Individual
MR. ROSS W. HACKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
16 CENTER ST, SUITE 410, NORTHAMPTON, MA 01060-3031
(413) 210-3739
Mailing address
35 CHURCH RD, HUNTINGTON, MA 01050-9764
(413) 210-3739
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT 1236
MA
Other
Enumeration date
02/03/2008
Last updated
02/03/2008
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