Individual provider · Type 1 NPI
Roseanne Mascolo, LADC
Addiction (Substance Use Disorder) Counselor · Bristol, CT
NPI number
1861433005
Active
Practice location
440D North Main St
Bristol, CT 06010
Fax (860) 314-2054
Mailing address
PO Box 2828
Bristol, CT 06011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 000559 (CT) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1861433005
Roseanne Mascolo, LADC's National Provider Identifier is 1861433005, issued on Jun 9, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bristol, CT. The record was last updated on Jul 11, 2007.