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Individual
DR. JOHN D. MASSELLA
Active
Individual
DR. JOHN D. MASSELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D, LPC, NCC, CCS,
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
PC000193
PA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
PC000193
PA
101YM0800X
Mental Health Counselor
PC000193
PA
Other
Enumeration date
05/04/2006
Last updated
04/28/2015
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