Provider Demographics
NPI:1124266465
Name:GARCIA, JANE E (MS)
Entity type:Individual
Prefix:MS
First Name:JANE
Middle Name:E
Last Name:GARCIA
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01105-1864
Mailing Address - Country:US
Mailing Address - Phone:413-732-7419
Mailing Address - Fax:
Practice Address - Street 1:664 PROSPECT AVE 1ST FL
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06105-1864
Practice Address - Country:US
Practice Address - Phone:413-244-5103
Practice Address - Fax:860-371-3516
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-23
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health