MISS Melanie Laurelle Bazillion, LADC 2
NPI #1619608288 in Pembroke, Massachusetts
Provider Information
- NPI Number
- 1619608288
- Entity Type
- Individual
- Name
- MISS Melanie Laurelle Bazillion, LADC 2
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- LADC 2
- Enumeration Date
- Jun 23, 2022
- Last Updated
- Mar 7, 2025
Practice Location
- Address
- 133 MOUNTAIN AVE
- City
- Pembroke
- State
- Massachusetts
- ZIP Code
- 02359-2639
- Phone
- (978) 727-5720
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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