Individual
MS. MELISSA H WAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASACT
Contact information
Practice address
55 HORIZON DR, HUNTINGTON, NY 11743-4436
(631) 920-8077
Mailing address
55 HORIZON DRIVE, HUNTINGTON, NY 11743
(631) 920-8077
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20892
NY
Other
Enumeration date
06/18/2010
Last updated
06/18/2010
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