Organization
MANDE' COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OMAR GAMAL REID PSY.D (PRESIDENT)
(413) 391-1983
Entity
Organization
Contact information
Practice address
1365 MAIN ST SUITE 401, SPRINGFIELD, MA 01103
(877) 336-2770
Mailing address
1365 MAIN ST STE 401, SPRINGFIELD, MA 01103-1685
(877) 336-2770
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
41DR
MA
Other
Enumeration date
05/13/2016
Last updated
05/13/2016
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