Individual
MRS. DESIREE MAZZARELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LCADC
Contact information
Practice address
1 LACY CT, CLAYTON, NJ 08312-1540
(856) 229-2512
Mailing address
1 LACY CT, CLAYTON, NJ 08312-1540
(856) 229-2512
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00249100
NJ
101YM0800X
Mental Health Counselor
Primary
37PC00756900
NJ
Other
Enumeration date
06/27/2018
Last updated
07/07/2022
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