Individual provider · Type 1 NPI

Carly Rousseau

Mental Health Counselor · Springfield, MA

NPI number 1457965576 Active

Practice location

576 State St
Springfield, MA 01109-4104

Call (413) 781-6485 Map

Mailing address

167 Mandalay Rd
Chicopee, MA 01020-3925

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Mental Health Counselor Primary 101YM0800X1508908229

Mental Health Counselor: Definition to come...

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About NPI 1457965576

Carly Rousseau's National Provider Identifier is 1457965576, issued on Sep 4, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Springfield, MA. The record was last updated on Sep 4, 2020.