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Kelly Jean Deming
Counselor in Springfield, Massachusetts
NPI 1902437304

Kelly Jean Deming is a Counselor based in Springfield, MA. Kelly Jean Deming practices in Springfield, MA. The NPI Number for Kelly Jean Deming is 1902437304 and holds a License No. (Massachusetts).

The current practice location address for Kelly Jean Deming is 2155 Main St, Springfield, MA and can be reached out via phone at 413-736-0395.

Location: 2155 Main St, Springfield, MA, 01104-3301
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902437304
Provider Name
Kelly Jean Deming
Credential
Provider Entity Type
Individual
Gender
Female
Address
2155 Main St, Springfield, MA, 01104-3301
Phone Number
413-736-0395
Fax Number
Provider Enumeration Date
02/04/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12529 01 MA HNE
1134107113 01 MA MBHP
1134107113 01 MA BEACON
997303 01 MA NETWORK HEALTH
Y10086 01 MA MEDICARE
1134107113 01 MA NHP
71756 01 MA TUFTS
1134107113 05 MA
042622756 01 MA CCA
1134107113 01 MA FALLON
institution
Provider Business Practice Location Address Details
Address
2155 Main St
City
Springfield
State
Massachusetts
Zip
01104-3301
Phone Number
413-736-0395
Fax Number
person
Provider Business Mailing Address Details
Address
2155 Main St
City
Springfield
State
Massachusetts
Zip
01104-3301
Phone Number
413-736-0395
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
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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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