IndividualActive
Amanda Mazariegos
NPI 1912597592 · Addiction (Substance Use Disorder) Counselor · Appleton, WI
Provider details
- NPI number
- 1912597592
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 19340-130 (WI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
3301 N Ballard Rd Ste B
Appleton, WI 54911-9002
Phone: (920) 733-4443
Fax: (920) 733-4796
Approximate (ZIP-level) locationGet directions
Mailing address
3301 N Ballard Rd Ste B
Appleton, WI 54911-9002
Registry dates
- Enumerated
- 2021-01-19
- Last updated
- 2022-05-19
- Certified
- 2021-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.