person
Mary Mascolo Pellitteri, LADC
Addiction (Substance Use Disorder) Counselor in Derby, Connecticut
NPI 1245414440

Mary Mascolo Pellitteri is an Addiction (Substance Use Disorder) Counselor based in Derby, CT and is specialized in Addiction (Substance Use Disorder). Mary Mascolo Pellitteri practices in Derby, CT and has the professional credentials of LADC. The NPI Number for Mary Mascolo Pellitteri is 1245414440 and holds a License No. 00364 (Connecticut).

The current practice location address for Mary Mascolo Pellitteri is 130 Division Street, Derby, CT and can be reached out via phone at 203-732-7550 and via fax at 203-732-1550.

Location: 130 Division Street, Derby, CT, 06418
person
Provider Profile Details
NPI Number
1245414440
Provider Name
Mary Mascolo Pellitteri
Credential
LADC
Provider Entity Type
Individual
Gender
Female
Address
130 Division Street, Derby, CT, 06418
Phone Number
203-732-7550
Fax Number
203-732-1550
Provider Enumeration Date
12/24/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00364 01 CT LICENSE NUMBER
institution
Provider Business Practice Location Address Details
Address
130 Division Street
City
State
Zip
06418
Phone Number
203-732-7550
Fax Number
203-732-1550
person
Provider Business Mailing Address Details
Address
130 Division Street
City
State
Zip
06418
Phone Number
203-732-7550
Fax Number
203-732-1550
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
00364 (Connecticut)
Definition
Definition to come...
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