Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jack Mazzotti

Individual provider Mental Health Counselor · NPI 1942967021

Jack Mazzotti is a Mental Health Counselor in Worcester, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2021
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Practice location Address checks out

255 Park Ave Ste 900
Worcester, MA 01609-1978
Phone: (508) 753-7902
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 10562 (MA)

Record details

NPI number1942967021
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 23, 2021
Last updated in NPPESNovember 23, 2021
Certification dateNovember 23, 2021
Mailing address255 Park Ave Ste 900, Worcester, MA 01609-1978

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