Provider Demographics
NPI:1124850367
Name:JESSOP-HUMPAGE, ARIELLE (LMHC)
Entity type:Individual
Prefix:
First Name:ARIELLE
Middle Name:
Last Name:JESSOP-HUMPAGE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 SUNRISE DR
Mailing Address - Street 2:
Mailing Address - City:HADLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01035-9731
Mailing Address - Country:US
Mailing Address - Phone:413-461-8108
Mailing Address - Fax:
Practice Address - Street 1:1 COTTAGE ST
Practice Address - Street 2:
Practice Address - City:EASTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01027-1672
Practice Address - Country:US
Practice Address - Phone:413-461-8108
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-16
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALMHC10002679101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor