Individual
MELISSA JEAN FIACCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAT
Contact information
Practice address
30 W STATE ST FL 2, BINGHAMTON, NY 13901-2307
(607) 723-7308
(607) 724-4626
Mailing address
23 CAROL CT, ENDWELL, NY 13760-1572
(607) 727-3949
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1586-01
NY
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1586-01
NY
101YM0800X
Mental Health Counselor
1586-01
NY
Other
Enumeration date
02/11/2026
Last updated
02/11/2026
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