Individual provider · Type 1 NPI

Clifford Thayer Ii

Mental Health Counselor · West Springfield, MA

NPI number 1215170253 Active

Practice location

2112 Riverdale Street
West Springfield, MA 01089

Call (413) 827-4379 Map

Mailing address

214 Williamsburg Road
Williamsburg, MA 01096

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1215170253

Clifford Thayer Ii's National Provider Identifier is 1215170253, issued on Apr 7, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in West Springfield, MA. The record was last updated on Apr 7, 2009.