Individual provider · Type 1 NPI

Brianna Mazzullo, CASAC-T

Addiction (Substance Use Disorder) Counselor · Staten Island, NY

NPI number 1689116865 Active

Practice location

3911 Richmond Ave
Staten Island, NY 10312-5110

Call (718) 948-3232 Map

Mailing address

4 Macon Ave
Staten Island, NY 10312-2013

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1013083476 (NY)

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

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About NPI 1689116865

Brianna Mazzullo, CASAC-T's National Provider Identifier is 1689116865, issued on Nov 5, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Staten Island, NY. The record was last updated on Nov 5, 2016.