Brodeur, Jacqueline
Brodeur, Jacqueline is an individual health care provider with primary practice located at 140 High St , Springfield MA 01199-1006. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Brodeur, Jacqueline can be contacted via phone (413) 794-2532.Contact Information
Primary practice address
140 High St
Springfield MA 01199-1006
Phone: (413) 794-2532
Fax: (413) 794-2793
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 1475 | Massachusetts |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 485 | Massachusetts |
Profile Details
NPI number | 1275713364 |
---|---|
LBN Legal business name | Brodeur, Jacqueline |
Credentials | LMHC, LADCI |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 6th, 2007 |
Last updated | Nov 6th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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