Individual provider · Type 1 NPI

Heather K. Mazarakos, LCSW

Addiction (Substance Use Disorder) Counselor · Stamford, CT

NPI number 1083989628 Active

Practice location

141 Franklin St
Stamford, CT 06901-1014

Fax (203) 602-7782

Mailing address

350 Fairfield Ave, Suite 701
Bridgeport, CT 06604-6014

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X007902 (CT)
Mental Health Counselor 101YM0800X007902 (CT)

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

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About NPI 1083989628

Heather K. Mazarakos, LCSW's National Provider Identifier is 1083989628, issued on Mar 15, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Stamford, CT. The record was last updated on Mar 15, 2012.