Individual
CHRISS MAZZARELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
1808 ROUTE 6, PUTNAM FAMILY COMM SERV, CARMEL, NY 10512-2356
(845) 225-2700
(845) 225-3207
Mailing address
1808 ROUTE 6, PUTNAM FAMILY COMM SERV, CARMEL, NY 10512-2356
(845) 225-2700
(845) 225-3207
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02995857
—
NY
01
—
1497737167
AGENCY NPI
NY
Enumeration date
09/14/2016
Last updated
09/14/2016
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