person
Tara Marie Vivenzio
Mental Health Counselor in Springfield, Massachusetts
NPI 1578960126

Tara Marie Vivenzio is a Mental Health Counselor based in Springfield, MA and is specialized in Mental Health. Tara Marie Vivenzio practices in Springfield, MA. The NPI Number for Tara Marie Vivenzio is 1578960126 and holds a License No. (Massachusetts).

The current practice location address for Tara Marie Vivenzio is 65 Norman St, Springfield, MA and can be reached out via phone at 413-262-8318.

Location: 65 Norman St, Springfield, MA, 01104-1268
person
Provider Profile Details
NPI Number
1578960126
Provider Name
Tara Marie Vivenzio
Credential
Provider Entity Type
Individual
Gender
Female
Address
65 Norman St, Springfield, MA, 01104-1268
Phone Number
413-262-8318
Fax Number
Provider Enumeration Date
11/25/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
65 Norman St
City
State
Zip
01104-1268
Phone Number
413-262-8318
Fax Number
person
Provider Business Mailing Address Details
Address
65 Norman St
City
State
Zip
01104-1268
Phone Number
413-262-8318
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
(Massachusetts)
Definition
Definition to come...
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