Individual provider · Type 1 NPI

Jason Christian Ravizza, M.ED., LMHC

Mental Health Counselor · Agawam, MA

NPI number 1205073749 Active

Practice location

200 Silver St., (agawam Crossing) Suite 106
Agawam, MA 01001

Call (413) 789-9198 Map

Fax (413) 789-6322

Mailing address

200 Silver St,, Unit 106
Agawam, MA 01001

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X4027 (MA)
School Counselor 101YS0200X365449 (MA)
School Social Worker 1041S0200X365449 (MA)

Mental Health Counselor: Definition to come...

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About NPI 1205073749

Jason Christian Ravizza, M.ED., LMHC's National Provider Identifier is 1205073749, issued on Jan 20, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Agawam, MA. The record was last updated on Jan 20, 2009.