Ivelisse Vicente Licsw
NPI #1982432324 in Chicopee, Massachusetts
Provider Information
- NPI Number
- 1982432324
- Entity Type
- Organization
- Organization Name
- Ivelisse Vicente Licsw
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Jul 25, 2024
- Last Updated
- Jul 25, 2024
Practice Location
- Address
- 62 LEONA AVE
- City
- Chicopee
- State
- Massachusetts
- ZIP Code
- 01013-3319
- Phone
- (413) 377-0677
Authorized Official
- Name
- IVELISSE VICENTE, LICSW
- Title
- PSYCHOTHERAPIST
- Phone
- (413) 377-0677
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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