AMANDA LISSNER BERGQUIST

HOLYOKE, MA
NPI1164074241
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MA  5000774)
Enumeration Date2019-07-10
Last Update Date2024-04-05
Business Address
AMANDA LISSNER BERGQUIST
303 BEECH ST
HOLYOKE, MA 01040-3968
Phone number: 413-540-1155
Mailing Address
AMANDA LISSNER BERGQUIST
511 MAIN ST
HAMPDEN, MA 01036-9640
Phone number: