Most Relevant Information
Provider Data
| NPI Number: | 1003398876 |
| Provider Name: | CHRISTOPHER JOHN FENNER |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/29/2018 |
| Last Updated: | 08/29/2018 |
Provider Practice Location
367 PINE ST
SPRINGFIELD
MA
011051930
Practice Location Phone/Fax
| Phone: | 4133729871 |
| Fax: |
Provider Mailing Location
19 GLEN OAK DR
ENFIELD
CT
060822603
Provider Mailing Phone/Fax
| Phone: | 8608037468 |
| Fax: |