Individual provider · Type 1 NPI

Gwen Ellen Martone Mazza, LMHC

Mental Health Counselor · Rochester, NY

NPI number 1194932251 Active

Practice location

2024 W Henrietta Rd, Suite 3-F
Rochester, NY 14623-1355

Fax (585) 723-5544

Mailing address

34 Kirkgate Dr
Spencerport, NY 14559-2124

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X0001115-1 (NY)

Mental Health Counselor: Definition to come...

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About NPI 1194932251

Gwen Ellen Martone Mazza, LMHC's National Provider Identifier is 1194932251, issued on May 17, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Rochester, NY. The record was last updated on Jul 8, 2007.