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Madison Vassallo
Addiction (Substance Use Disorder) Counselor in Enfield, Connecticut
NPI 1033872254

Madison Vassallo is an Addiction (Substance Use Disorder) Counselor based in Windsor, CT and is specialized in Addiction (Substance Use Disorder). Madison Vassallo practices in Enfield, CT. The NPI Number for Madison Vassallo is 1033872254 and holds a License No. (Connecticut).

The current practice location address for Madison Vassallo is 153 Hazard Ave, Enfield, CT and can be reached out via phone at 877-884-3571 and via fax at 860-731-5536.

Location: 153 Hazard Ave, Enfield, CT, 06095-1588
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033872254
Provider Name
Madison Vassallo
Credential
Provider Entity Type
Individual
Gender
Female
Address
153 Hazard Ave, Enfield, CT, 06095-1588
Phone Number
877-884-3571
Fax Number
860-731-5536
Provider Enumeration Date
10/14/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
153 Hazard Ave
City
Enfield
State
Connecticut
Zip
06082-4592
Phone Number
877-884-3571
Fax Number
860-731-5536
person
Provider Business Mailing Address Details
Address
153 Hazard Ave
City
Enfield
State
Connecticut
Zip
06082-4592
Phone Number
877-884-3571
Fax Number
860-731-5536
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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