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Shanese Nicole Mims
Counselor in Springfield, Massachusetts
NPI 1629820212

Shanese Nicole Mims is a Counselor based in Springfield, MA. Shanese Nicole Mims practices in Springfield, MA. The NPI Number for Shanese Nicole Mims is 1629820212 and holds a License No. (Massachusetts).

The current practice location address for Shanese Nicole Mims is 417 Liberty St, Springfield, MA and can be reached out via phone at 413-747-0705 and via fax at 413-732-7075.

Location: 417 Liberty St, Springfield, MA, 01104-3736
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629820212
Provider Name
Shanese Nicole Mims
Credential
Provider Entity Type
Individual
Gender
Female
Address
417 Liberty St, Springfield, MA, 01104-3736
Phone Number
413-747-0705
Fax Number
413-732-7075
Provider Enumeration Date
04/05/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
417 Liberty St
City
Springfield
State
Massachusetts
Zip
01104-3736
Phone Number
413-747-0705
Fax Number
413-732-7075
person
Provider Business Mailing Address Details
Address
417 Liberty St
City
Springfield
State
Massachusetts
Zip
01104-3736
Phone Number
413-747-0705
Fax Number
413-732-7075
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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