Individual
MARK REBELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW-CADC
Contact information
Practice address
107 LINCOLN ST, WORCESTER, MA 01605-2401
(508) 453-3013
Mailing address
25 BOSTON AVE, WORCESTER, MA 01604-1951
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/26/2013
Last updated
03/26/2013
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