Individual provider · Type 1 NPI

Susan L. Mazzola

Addiction (Substance Use Disorder) Counselor · Fitchburg, MA

NPI number 1104067693 Active

Practice location

155 Airport Rd
Fitchburg, MA 01420-8142

Mailing address

53 Edward Rd
Townsend, MA 01469-1107

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1104067693

Susan L. Mazzola's National Provider Identifier is 1104067693, issued on Mar 13, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fitchburg, MA. The record was last updated on Mar 13, 2009.