Individual
MS. ANGELA M MASSIELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
192 MAPLE AVE, UNCASVILLE, CT 06382-2018
(860) 215-1020
Mailing address
192 MAPLE AVE, UNCASVILLE, CT 06382-2018
(860) 215-1020
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
001230
CT
Other
Enumeration date
04/26/2020
Last updated
05/01/2020
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