Individual
BILLY BLUE ELI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
123 UNION STREET, SUITE 201 #3, EASTHAMPTON, MA 01027
(412) 203-9722
Mailing address
123 UNION STREET, SUITE 201 #3, EASTHAMPTON, MA 01027
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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