Individual
CARISSA JUDE MELILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
10 CONCORD AVE, CAMBRIDGE, MA 02138-2322
(617) 520-4448
Mailing address
10 CONCORD AVE, CAMBRIDGE, MA 02138-2322
(617) 520-4448
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11627
MA
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
06/18/2017
Last updated
01/12/2020
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