person
Mr. Jason Christian Ravizza, MED,LMHC
School Social Worker in Agawam, Massachusetts
NPI 1205073749

Jason Christian Ravizza is a School Social Worker based in Agawam, MA and is specialized in School. Jason Christian Ravizza practices in Agawam, MA and has the professional credentials of MED,LMHC. The NPI Number for Jason Christian Ravizza is 1205073749 and holds a License No. 4027 (Massachusetts).

The current practice location address for Jason Christian Ravizza is 200 Silver St., Agawam, MA and can be reached out via phone at 413-789-9198 and via fax at 413-789-6322.

Location: 200 Silver St., Agawam, MA, 01001
person
Provider Profile Details
NPI Number
1205073749
Provider Name
Jason Christian Ravizza
Credential
MED,LMHC
Provider Entity Type
Individual
Gender
Male
Address
200 Silver St., Agawam, MA, 01001
Phone Number
413-789-9198
Fax Number
413-789-6322
Provider Enumeration Date
01/20/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
200 Silver St.
City
State
Zip
01001
Phone Number
413-789-9198
Fax Number
413-789-6322
person
Provider Business Mailing Address Details
Address
200 Silver St.
City
State
Zip
01001
Phone Number
413-789-9198
Fax Number
413-789-6322
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
365449 (Massachusetts)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
School
Taxonomy
License No.
365449 (Massachusetts)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
School
Taxonomy
License No.
4027 (Massachusetts)
Definition
Definition to come...
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