Vassallo, Madison

Vassallo, Madison is an individual health care provider with primary practice located at 153 Hazard Ave , Enfield CT 06082-4592. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Vassallo, Madison can be contacted via phone (877) 884-3571.

Contact Information

Primary practice address
153 Hazard Ave Enfield CT 06082-4592
Phone: (877) 884-3571
Fax: (860) 731-5536
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1033872254
LBN Legal business name Vassallo, Madison
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2021
Last updated Jan 20th, 2023 - about last year

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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