Individual
CALVIN BLAKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1233 MAIN ST, HOLYOKE, MA 01040-5381
(413) 539-2468
Mailing address
1233 MAIN ST, HOLYOKE, MA 01040-5381
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/03/2021
Last updated
12/03/2021
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