Individual provider · Type 1 NPI
Melanie Laurelle Bazillion, LADC 2
Addiction (Substance Use Disorder) Counselor · Pembroke, MA
NPI number
1619608288
Active
Practice location
133 Mountain Ave
Pembroke, MA 02359-2639
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1619608288
Melanie Laurelle Bazillion, LADC 2's National Provider Identifier is 1619608288, issued on Jun 23, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pembroke, MA. The record was last updated on Mar 7, 2025.