Individual
DAVID JOSEPH MAZALESKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCAS
Contact information
Practice address
1131-B MALCOLM BLVD., RUTHERFORD COLLEGE, NC 28671
(828) 874-5511
(828) 874-5511
Mailing address
PO BOX 247, RUTHERFORD COLLEGE, NC 28671
(828) 874-5511
(828) 874-5511
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
380
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6111754
—
NC
Enumeration date
06/06/2006
Last updated
10/02/2008
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