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Clifford Thayer II
Mental Health Counselor in West Springfield, Massachusetts
NPI 1215170253

Clifford Thayer II is a Mental Health Counselor based in Williamsburg, MA and is specialized in Mental Health. Clifford Thayer II practices in West Springfield, MA. The NPI Number for Clifford Thayer II is 1215170253 and holds a License No. (Massachusetts).

The current practice location address for Clifford Thayer II is 2112 Riverdale Street, West Springfield, MA and can be reached out via phone at 413-827-4379.

Location: 2112 Riverdale Street, West Springfield, MA, 01096
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215170253
Provider Name
Clifford Thayer II
Credential
Provider Entity Type
Individual
Gender
Male
Address
2112 Riverdale Street, West Springfield, MA, 01096
Phone Number
413-827-4379
Fax Number
Provider Enumeration Date
04/07/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2112 Riverdale Street
City
West Springfield
State
Massachusetts
Zip
01089
Phone Number
413-827-4379
Fax Number
person
Provider Business Mailing Address Details
Address
2112 Riverdale Street
City
West Springfield
State
Massachusetts
Zip
01089
Phone Number
413-827-4379
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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