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REBECCA MELENDEZ 5688 (CASAC-G)

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1386194561

Individual Registrant:
 REBECCA  MELENDEZ 5688 (CASAC-G)
Gender: F
Sole Proprietor

Location and contact information for practice:
23 N CLOVE RD  VERBANK, NY 12585-5110 US
Tel: 914-423-4466  Fax: 914-423-4346

Contact information for business:
23 N CLOVE RD  VERBANK, NY 12585-5110 US
Tel: 914-423-4466  Fax: 914-423-4346

Registration Information:
NPI: 1386194561
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
NY5688

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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