Individual provider · Type 1 NPI

Clara M. Aquino-Mascorro, DM, CAC-II, LBSW

Addiction (Substance Use Disorder) Counselor · Holland, MI

NPI number 1831219971 Active

Practice location

412 Century Ln
Holland, MI 49423-4285

Call (616) 396-2301 Map

Fax (616) 396-8070

Mailing address

3048 Old Allegan Rd
Fennville, MI 49408-9495

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X2-00839 (MI)
Social Worker 104100000X6802079603 (MI)

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

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About NPI 1831219971

Clara M. Aquino-Mascorro, DM, CAC-II, LBSW's National Provider Identifier is 1831219971, issued on Mar 30, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Holland, MI. The record was last updated on Jan 9, 2013.