Mazzola, David

Mazzola, David is an individual health care provider with primary practice located at 1401 Long St , High Point NC 27262-2541. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Mazzola, David can be contacted via phone (336) 387-6161.

Contact Information

Primary practice address
1401 Long St High Point NC 27262-2541
Phone: (336) 387-6161
Fax: (336) 387-9167
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 626 North Carolina
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 3209 North Carolina

Profile Details

NPI number 1265503122
LBN Legal business name Mazzola, David
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265503122 NPPES
North Carolina MEDICAID 6103424

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