Individual
MRS. TANYA RENEE LIQUORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, LADC1, CCDP-D
Contact information
Practice address
628 CENTER ST, CHICOPEE, MA 01013-1589
(413) 746-0051
(413) 746-0368
Mailing address
628 CENTER ST, CHICOPEE, MA 01013-1589
(413) 746-0051
(413) 746-0368
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2149
MA
Other
Enumeration date
04/02/2007
Last updated
12/26/2009
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