Most Relevant Information
Provider Data
| NPI Number: | 1003353616 |
| Provider Name: | NICOLE SANTOS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | 9947 |
Most Important Dates
| Enumeration Date: | 01/21/2017 |
| Last Updated: | 01/21/2017 |
Provider Practice Location
433 WEST ST
SUITE 5
AMHERST
MA
010022936
Practice Location Phone/Fax
| Phone: | 4136873520 |
| Fax: |
Provider Mailing Location
591 MOORE ST
LUDLOW
MA
010561607
Provider Mailing Phone/Fax
| Phone: | 4136268084 |
| Fax: |