ANASTASIA MAZZULLA MCCARGO NPI 1114259819

NPI Information

NPI: 1114259819
Provider Name: ANASTASIA MAZZULLA MCCARGO
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
1979 N MILL ST
SUITE 211
NAPERVILLE, IL
ZIP 60563
Phone: (630) 428-2344
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Anastasia Mazzulla Mccargo is a mental health counselor in Naperville, IL. Anastasia Mazzulla Mccargo NPI is 1114259819. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1979 N MILL ST
SUITE 211
NAPERVILLE, IL
ZIP 60563-200
Phone: (630) 428-2344
Fax: (630) 428-2308

The enumeration date for this NPI number is 2/4/2010 and was last updated on 5/14/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	180.006543	ILLINOIS	No
2	101YM0800X	Counselor	Mental Health	180.006543	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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