Amanda E Mazariegos
Amanda E Mazariegos is an Addiction (Substance Use Disorder) Counselor in Appleton, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2021.
- Licensed in
- WI
- In the registry since
- 2021
Practice location Address checks out
3301 N Ballard Rd Ste BAppleton, WI 54911-9002
Phone: (920) 733-4443
Fax: (920) 733-4796
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 19340-130 (WI) |
|---|
Record details
| NPI number | 1912597592 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | January 19, 2021 |
| Last updated in NPPES | May 19, 2022 |
| Certification date | January 19, 2021 |
| Mailing address | 3301 N Ballard Rd Ste B, Appleton, WI 54911-9002 |
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