person
Elizannite Marie Davila Roman, LADCII
Addiction (Substance Use Disorder) Counselor in Springfield, Massachusetts
NPI 1023787389

Elizannite Marie Davila Roman is an Addiction (Substance Use Disorder) Counselor based in Springfield, MA and is specialized in Addiction (Substance Use Disorder). Elizannite Marie Davila Roman practices in Springfield, MA and has the professional credentials of LADCII. The NPI Number for Elizannite Marie Davila Roman is 1023787389 and holds a License No. 20661 (Massachusetts).

The current practice location address for Elizannite Marie Davila Roman is 1380 Main St Ste 415, Springfield, MA and can be reached out via phone at 413-459-8655 and via fax at 413-455-2708.

Location: 1380 Main St Ste 415, Springfield, MA, 01103-1440
person
Provider Profile Details
NPI Number
1023787389
Provider Name
Elizannite Marie Davila Roman
Credential
LADCII
Provider Entity Type
Individual
Gender
Female
Address
1380 Main St Ste 415, Springfield, MA, 01103-1440
Phone Number
413-459-8655
Fax Number
413-455-2708
Provider Enumeration Date
09/09/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
S87753442 01 MA DRIVERS
institution
Provider Business Practice Location Address Details
Address
1380 Main St Ste 415
City
State
Zip
01103-1440
Phone Number
413-459-8655
Fax Number
413-455-2708
person
Provider Business Mailing Address Details
Address
1380 Main St Ste 415
City
State
Zip
01103-1440
Phone Number
413-459-8655
Fax Number
413-455-2708
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
20661 (Massachusetts)
Definition
Definition to come...
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