Foresta, Douglas

Foresta, Douglas is an individual health care provider with primary practice located at 71 Mary St , Chicopee MA 01020-1139. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Foresta, Douglas can be contacted via phone (413) 737-9544.

Contact Information

Primary practice address
71 Mary St Chicopee MA 01020-1139
Phone: (413) 737-9544
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 116690 Massachusetts

Profile Details

NPI number 1124238415
LBN Legal business name Foresta, Douglas
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Dec 30th, 2011 - about 13 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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