Individual
DANIELLE PANANOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
277 ARDSLEY RD, LONGMEADOW, MA 01106-2505
(413) 237-1409
Mailing address
1695 MAIN ST, SPRINGFIELD, MA 01103-1348
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/28/2021
Last updated
07/28/2021
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