National Provider Identifier
Amanda E Mazariegos
Amanda E Mazariegos is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Appleton, WI and a listed phone number of (920) 733-4443.
Source: public NPPES record, last updated May 19, 2022. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1912597592
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- January 19, 2021
- Last Updated
- May 19, 2022
Practice Location
- 3301 N Ballard RD Ste B
- Appleton, WI 54911-9002
Phone: (920) 733-4443
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
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Biography
Amanda Mazariegos is an Appleton, Wisconsin behavioral health provider focused on addiction counseling. The CMS NPI Registry identifies her primary professional area as substance-use-disorder counseling and associates her record with Wisconsin licensure.
Full Record
- NPI
- 1912597592
- Entity Type
- Individual
- Last Name
- Mazariegos
- First Name
- Amanda
- Middle Name
- E
- Mailing Street Address
- 3301 N Ballard RD Ste B
- Mailing City
- Appleton
- Mailing State
- WI
- Mailing ZIP Code
- 54911-9002
- Mailing Country
- US
- Mailing Phone
- (920) 733-4443
- Mailing Fax
- (920) 733-4796
- Practice Street Address
- 3301 N Ballard RD Ste B
- Practice City
- Appleton
- Practice State
- WI
- Practice ZIP Code
- 54911-9002
- Practice Country
- US
- Practice Phone
- (920) 733-4443
- Practice Fax
- (920) 733-4796
- Enumeration Date
- January 19, 2021
- Last Updated
- May 19, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 19, 2021
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)