Individual provider · Type 1 NPI

Jason David Hanscom

Mental Health Counselor · Springfield, MA

NPI number 1801155478 Active

Practice location

130 Maple St
Springfield, MA 01103-2202

Mailing address

54 Guy Pl
West Springfield, MA 01089-3115

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1801155478

Jason David Hanscom's National Provider Identifier is 1801155478, issued on May 16, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Springfield, MA. The record was last updated on May 16, 2012.