Individual
BARBARA VELAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 MULBERRY ST, SPRINGFIELD, MA 01105-1433
(347) 366-7120
Mailing address
15 MULBERRY ST, SPRINGFIELD, MA 01105-1433
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
11877
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1303295
—
MA
05
—
1307576
—
MA
01
—
M18463
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
04/17/2013
Last updated
12/02/2020
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