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Edward Gene Cisero
Addiction (Substance Use Disorder) Counselor in Springfield, Massachusetts
NPI 1922649169

Edward Gene Cisero is an Addiction (Substance Use Disorder) Counselor based in Springfield, MA and is specialized in Addiction (Substance Use Disorder). Edward Gene Cisero practices in Springfield, MA. The NPI Number for Edward Gene Cisero is 1922649169 and holds a License No. (Massachusetts).

The current practice location address for Edward Gene Cisero is 20 Wilbraham Ave, Springfield, MA and can be reached out via phone at 413-747-5384 and via fax at 413-382-7170.

Location: 20 Wilbraham Ave, Springfield, MA, 01109-4027
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922649169
Provider Name
Edward Gene Cisero
Credential
Provider Entity Type
Individual
Gender
Male
Address
20 Wilbraham Ave, Springfield, MA, 01109-4027
Phone Number
413-747-5384
Fax Number
413-382-7170
Provider Enumeration Date
09/30/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
20 Wilbraham Ave
City
Springfield
State
Massachusetts
Zip
01109-3337
Phone Number
413-747-5384
Fax Number
413-382-7170
person
Provider Business Mailing Address Details
Address
20 Wilbraham Ave
City
Springfield
State
Massachusetts
Zip
01109-3337
Phone Number
413-747-5384
Fax Number
413-382-7170
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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