Individual
TINA CAZZOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2323 W EVERETT ST, APPLETON, WI 54914-4749
(920) 560-4525
Mailing address
208 LILAC LN, LITTLE CHUTE, WI 54140-1118
(920) 540-0772
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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