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Amanda Lissner Bergquist
Mental Health Counselor in Holyoke, Massachusetts
NPI 1164074241

Amanda Lissner Bergquist is a Mental Health Counselor based in Hampden, MA and is specialized in Mental Health. Amanda Lissner Bergquist practices in Holyoke, MA. The NPI Number for Amanda Lissner Bergquist is 1164074241 and holds a License No. 5000774 (Massachusetts).

The current practice location address for Amanda Lissner Bergquist is 303 Beech St, Holyoke, MA and can be reached out via phone at 413-540-1155.

Location: 303 Beech St, Holyoke, MA, 01036-9640
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164074241
Provider Name
Amanda Lissner Bergquist
Credential
Provider Entity Type
Individual
Gender
Female
Address
303 Beech St, Holyoke, MA, 01036-9640
Phone Number
413-540-1155
Fax Number
Provider Enumeration Date
07/10/2019
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1851444616 01 MA RIVER VALLEY COUNSELING CENTER
institution
Provider Business Practice Location Address Details
Address
303 Beech St
City
Holyoke
State
Massachusetts
Zip
01040-3968
Phone Number
413-540-1155
Fax Number
person
Provider Business Mailing Address Details
Address
303 Beech St
City
Holyoke
State
Massachusetts
Zip
01040-3968
Phone Number
413-540-1155
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
5000774 (Massachusetts)
Definition
Definition to come...
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