| NPI | 1669581773 |
|---|---|
| Other Name | MICHAEL JOSEPH VAZZANA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: VA 0701004508) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2023-12-13 |