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Mrs. Elaine Bonita Holston Southworth
Mental Health Counselor in Springfield, Massachusetts
NPI 1619443298

Elaine Bonita Holston Southworth is a Mental Health Counselor based in Springfield, MA and is specialized in Mental Health. Elaine Bonita Holston Southworth practices in Springfield, MA. The NPI Number for Elaine Bonita Holston Southworth is 1619443298 and holds a License No. (Massachusetts).

The current practice location address for Elaine Bonita Holston Southworth is 1695 Main St Fl 400, Springfield, MA and can be reached out via phone at 413-348-4101.

Location: 1695 Main St Fl 400, Springfield, MA, 01103-1063
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619443298
Provider Name
Elaine Bonita Holston Southworth
Credential
Provider Entity Type
Individual
Gender
Female
Address
1695 Main St Fl 400, Springfield, MA, 01103-1063
Phone Number
413-348-4101
Fax Number
Provider Enumeration Date
10/22/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1695 Main St Fl 400
City
Springfield
State
Massachusetts
Zip
01103-1063
Phone Number
413-348-4101
Fax Number
person
Provider Business Mailing Address Details
Address
1695 Main St Fl 400
City
Springfield
State
Massachusetts
Zip
01103-1063
Phone Number
413-348-4101
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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