Individual
ELISE HODOVANEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
90 CARANDO DR, SPRINGFIELD, MA 01104-4205
(508) 363-0200
Mailing address
90 CARANDO DR, SPRINGFIELD, MA 01104-4205
(508) 363-0200
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110026265E
—
MA
Enumeration date
07/28/2015
Last updated
03/28/2022
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