Individual
MR. HENRY RAU TALBOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW, LADC1
Contact information
Practice address
38 BALDWIN ST, EAST LONGMEADOW, MA 01028-2201
(413) 374-4422
Mailing address
PO BOX 364, EAST LONGMEADOW, MA 01028-0364
(413) 224-1606
(413) 224-1606
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1184
MA
Other
Enumeration date
03/27/2012
Last updated
01/30/2014
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