Maxine Alicea

Individual provider Active NPI Mental Health Counselor · Easthampton, MA

NPI 1023734845 · NPPES record last updated Oct 13, 2022

Key facts

NPI
1023734845
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
60 Everett St
Easthampton, MA 01027-1641
Phone
(413) 207-7508
NPI assigned
Oct 13, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

60 Everett St
Easthampton, MA 01027-1641

Mailing address

60 Everett St
Easthampton, MA 01027-1641
Phone (413) 207-7508

Other providers in Easthampton, MA

All providers in Easthampton, MA · Mental Health Counselor in Massachusetts

Sources for this page

Verify at the official NPI Registry.