Individual provider · Type 1 NPI

Amanda Lissner Bergquist

Mental Health Counselor · Holyoke, MA

NPI number 1164074241 Active

Practice location

303 Beech St
Holyoke, MA 01040-3968

Mailing address

511 Main St
Hampden, MA 01036-9640

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X5000774 (MA)

Mental Health Counselor: Definition to come...

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About NPI 1164074241

Amanda Lissner Bergquist's National Provider Identifier is 1164074241, issued on Jul 10, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Holyoke, MA. The record was last updated on Apr 5, 2024.