Mazzello, Patricia Susan

Mazzello, Patricia Susan is an individual health care provider with primary practice located at 4000 Portage Rd Ste 106, Kalamazoo MI 49001. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Mazzello, Patricia Susan can be contacted via phone (269) 345-5041.

Contact Information

Primary practice address
4000 Portage Rd Ste 106 Kalamazoo MI 49001
Phone: (269) 345-5041
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X LMSW6801012420 Michigan
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LMFT4101005696 Michigan

Profile Details

NPI number 1306971957
LBN Legal business name Mazzello, Patricia Susan
Credentials LMSW ACSW LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2007
Last updated Jul 8th, 2007 - about 19 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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