Roseanne Mascolo, LADC Valid NPI

Individual provider · Addiction (Substance Use Disorder) Counselor · Bristol, CT

NPI

1861433005

Type

Individual (Type 1)

Primary specialty

Addiction (Substance Use Disorder) Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YA0400X

License number

000559 (CT)

Sex

Female

Sole proprietor

No

Enumerated

2006-06-09

Last updated

2007-07-11