Individual
ANTONIOS MELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC-DP
Contact information
Practice address
711 S ILLINOIS AVE, GAYLORD, MI 49735-1763
(989) 732-4357
Mailing address
711 S ILLINOIS AVE, GAYLORD, MI 49735-1763
(989) 732-4357
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
MI
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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