person
Rebecca Lynn Divico
Mental Health Counselor in East Longmeadow, Massachusetts
NPI 1457879942

Rebecca Lynn Divico is a Mental Health Counselor based in South Hadley, MA and is specialized in Mental Health. Rebecca Lynn Divico practices in East Longmeadow, MA. The NPI Number for Rebecca Lynn Divico is 1457879942 and holds a License No. 12081 (Massachusetts).

The current practice location address for Rebecca Lynn Divico is 200 N Main St Ste 17, East Longmeadow, MA and can be reached out via phone at 413-209-7796.

Location: 200 N Main St Ste 17, East Longmeadow, MA, 01075-2887
person
Provider Profile Details
NPI Number
1457879942
Provider Name
Rebecca Lynn Divico
Credential
Provider Entity Type
Individual
Gender
Female
Address
200 N Main St Ste 17, East Longmeadow, MA, 01075-2887
Phone Number
413-209-7796
Fax Number
Provider Enumeration Date
09/05/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
042680339 05 MA
institution
Provider Business Practice Location Address Details
Address
200 N Main St Ste 17
City
State
Zip
01028-2354
Phone Number
413-209-7796
Fax Number
person
Provider Business Mailing Address Details
Address
200 N Main St Ste 17
City
State
Zip
01028-2354
Phone Number
413-209-7796
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
12081 (Massachusetts)
Definition
Definition to come...
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