Individual provider · Type 1 NPI

Gregg Mazzariello, CCAPP COUNSELOR

Addiction (Substance Use Disorder) Counselor · San Rafael, CA

NPI number 1316440175 Active

Practice location

603 D St
San Rafael, CA 94901-3719

Call (415) 454-9444 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1289570218 (CA)

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

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About NPI 1316440175

Gregg Mazzariello, CCAPP COUNSELOR's National Provider Identifier is 1316440175, issued on Mar 16, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Rafael, CA. The record was last updated on Mar 16, 2018.