Individual
MR. BERNARD JOSEPH SOUSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
1727 NORTHAMPTON ST, HOLYOKE, MA 01040-1919
(413) 532-0926
(413) 532-0928
Mailing address
4 TAYLOR ST, HOLYOKE, MA 01040-3328
(413) 210-6979
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5362
MA
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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