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Individual

ATHENA ZAZZARO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
152 SYLVAN ST FL 2A, DANVERS, MA 01923-3581
(978) 222-3121
Mailing address
93 CLINTON ST, EVERETT, MA 02149-4640
(860) 984-3474

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMHC13567
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1205533361
MA
01
NONE
NONE
Enumeration date
02/09/2023
Last updated
03/02/2023
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