Provider Demographics
NPI:1336761782
Name:INNOCENT, ALOURDES (M ED)
Entity Type:Individual
Prefix:PROF
First Name:ALOURDES
Middle Name:
Last Name:INNOCENT
Suffix:
Gender:F
Credentials:M ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:476 APPLETON ST STE 2
Mailing Address - Street 2:
Mailing Address - City:HOLYOKE
Mailing Address - State:MA
Mailing Address - Zip Code:01040-3236
Mailing Address - Country:US
Mailing Address - Phone:413-315-3194
Mailing Address - Fax:
Practice Address - Street 1:476 APPLETON ST STE 2
Practice Address - Street 2:
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040-3236
Practice Address - Country:US
Practice Address - Phone:413-315-3194
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-08
Last Update Date:2020-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional