Organization
DANDELION PSYCHOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARA WAGNER (FOUNDER/CLINICIAN)
(585) 455-4173
Entity
Organization
Contact information
Practice address
402 PLEASANT ST, HOLYOKE, MA 01040-2527
(585) 455-4173
(413) 315-4199
Mailing address
402 PLEASANT ST, HOLYOKE, MA 01040-2527
(585) 455-4173
(413) 315-4199
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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