Individual provider · Type 1 NPI

Madison Vassallo

Addiction (Substance Use Disorder) Counselor · Enfield, CT

NPI number 1033872254 Active

Practice location

153 Hazard Ave
Enfield, CT 06082-4592

Call (877) 884-3571 Map

Fax (860) 731-5536

Mailing address

2 Waterside Xing Ste 401
Windsor, CT 06095-1588

Other practice locations

  • 444 Center St, Manchester, CT 06040-3926 · (860) 646-3888

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor 101YM0800XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1033872254

Madison Vassallo's National Provider Identifier is 1033872254, issued on Oct 14, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Enfield, CT. The record was last updated on Jan 20, 2023.