Provider Demographics
NPI:1215183942
Name:ANDERSON-PACHULSKI, BILLIE JAELYN (LICSW, MSW)
Entity Type:Individual
Prefix:
First Name:BILLIE
Middle Name:JAELYN
Last Name:ANDERSON-PACHULSKI
Suffix:
Gender:F
Credentials:LICSW, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 504
Mailing Address - Street 2:
Mailing Address - City:SANDISFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01255-0504
Mailing Address - Country:US
Mailing Address - Phone:413-652-0252
Mailing Address - Fax:
Practice Address - Street 1:51 CHURCH ST
Practice Address - Street 2:
Practice Address - City:LENOX
Practice Address - State:MA
Practice Address - Zip Code:01240-2649
Practice Address - Country:US
Practice Address - Phone:413-446-1525
Practice Address - Fax:413-637-4667
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-13
Last Update Date:2019-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor