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NPI Code Detail

MEDICARE: MS. RENATA LEPECKI JENCO M.A.

MEDICARE: MS. RENATA LEPECKI JENCO M.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor4759MA

General Provider Information

NPI Number : 1275672214
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. RENATA LEPECKI JENCO M.A.
Provider Business Mailing Address
First Line : 5 NEWELL ST
Second Line :
City : CHICOPEE
State : MA
Zip : 01013-3820
Country : US
Telephone Number : 413-552-0182
Fax Number :
Provider Business Practice Location Address
First Line : 59 INTERSTATE DR
Second Line :
City : WEST SPRINGFIELD
State : MA
Zip : 01089-5100
Country : US
Telephone Number : 413-887-8385
Fax Number : 774-628-9657
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2007
Last Update Date : 04/28/2026

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