Doctor Name: | MS. JOAN ALEXANDER BIANCHI |
NPI Number: | 1639384423 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 112182 |
Business Practice Address: | 5 State Street Office #3 Shelburne Falls, MA - 01370 |
Business Phone Number: | 4136348849 |
Business Fax Number: | |
Mailing Address: | Po Box 11, PLAINFIELD |
State: | MA |
Postal Code: | 01070 |
Phone Number: | 4136348849 |
Fax Number: | |
NPI Enumeration Date: | 05/14/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 112182 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |