Individual provider · Type 1 NPI

Heather Ghannam, MASTER'S SOCIAL WORK

Mental Health Counselor · Springfield, MA

NPI number 1104330489 Active

Practice location

140 High St Ste 230
Springfield, MA 01105-1435

Call (413) 495-1500 Map

Mailing address

17 Hampden St
West Springfield, MA 01089-3116

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency 251S00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1104330489

Heather Ghannam, MASTER'S SOCIAL WORK's National Provider Identifier is 1104330489, issued on Nov 25, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Springfield, MA. The record was last updated on Nov 25, 2017.