Individual
MS. MELISSA MARIE GERICKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, NCC, CCMHC
Contact information
Practice address
201 E GREEN ST, ITHACA, NY 14850-5635
(607) 274-6288
Mailing address
442 N GENEVA ST APT 1B, ITHACA, NY 14850-4141
(570) 872-7615
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NY
Other
Enumeration date
08/25/2017
Last updated
08/25/2017
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