Most Relevant Information
Provider Data
| NPI Number: | 1003325010 |
| Provider Name: | AMBER MEDEIROS |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/21/2017 |
| Last Updated: | 05/26/2022 |
Provider Practice Location
130 MAPLE ST.
SPRINGFIELD
MA
01103
Practice Location Phone/Fax
| Phone: | 4137379544 |
| Fax: |
Provider Mailing Location
130 MAPLE ST
SPRINGFIELD
MA
011032202
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |