Individual
THOMAS PETER MAZZARELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCAS
Contact information
Practice address
8 CALLE LUNA CT, DURHAM, NC 27707-6048
(757) 617-0277
Mailing address
8 CALLE LUNA CT, DURHAM, NC 27707-6048
(757) 617-0277
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-20547
NC
Other
Enumeration date
12/16/2015
Last updated
12/16/2015
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