Individual
AMANDA WILLSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
417 LIBERTY ST STE 2, SPRINGFIELD, MA 01104-3766
(413) 747-0705
Mailing address
417 LIBERTY ST STE 2, SPRINGFIELD, MA 01104-3766
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/31/2022
Last updated
08/31/2022
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