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DONNA BERNARDI-AGNES LMHC, LADC I

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1417495581

Individual Registrant:
 DONNA  BERNARDI-AGNES LMHC, LADC I
Gender: F
Not Sole Proprietor

Location and contact information for practice:
185 WEST AVE SUITE 301 LUDLOW, MA 01056-1700 US
Tel: 860-559-9377  Fax: --

Contact information for business:
185 WEST AVE SUITE 301 LUDLOW, MA 01056-1700 US
Tel: 413-858-0392  Fax: --

Registration Information:
NPI: 1417495581
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
MA1007
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
MA3825

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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