Individual
JORGE BAEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
628 CENTER ST, CHICOPEE, MA 01013-1589
(413) 746-0051
Mailing address
125 N ELM ST, WESTFIELD, MA 01085-1643
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/18/2010
Last updated
06/18/2010
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