Individual
CHANDLER KIRINOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
263 ALDEN ST, SPRINGFIELD, MA 01109-3707
(413) 748-3000
Mailing address
2317 BIGELOW CMNS, ENFIELD, CT 06082-3342
(517) 898-3817
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MA
2255A2300X
Athletic Trainer
—
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
MI
Other
Enumeration date
11/07/2015
Last updated
08/17/2023
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