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Shante Black
Mental Health Counselor in West Springfield, Massachusetts
NPI 1861930414

Shante Black is a Mental Health Counselor based in West Springfield, MA and is specialized in Mental Health. Shante Black practices in West Springfield, MA. The NPI Number for Shante Black is 1861930414 and holds a License No. (Massachusetts).

The current practice location address for Shante Black is 1111 Elm St, West Springfield, MA and can be reached out via phone at 413-734-0800.

Location: 1111 Elm St, West Springfield, MA, 01089-1782
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861930414
Provider Name
Shante Black
Credential
Provider Entity Type
Individual
Gender
Female
Address
1111 Elm St, West Springfield, MA, 01089-1782
Phone Number
413-734-0800
Fax Number
Provider Enumeration Date
02/03/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
110026265E 05 MA
institution
Provider Business Practice Location Address Details
Address
1111 Elm St
City
West Springfield
State
Massachusetts
Zip
01089-1782
Phone Number
413-734-0800
Fax Number
person
Provider Business Mailing Address Details
Address
1111 Elm St
City
West Springfield
State
Massachusetts
Zip
01089-1782
Phone Number
413-734-0800
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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