Individual
MR. MICHAEL DESHAWN SELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC-T
Contact information
Practice address
25 E 15TH ST FL 7, NEW YORK, NY 10003-3153
(212) 627-9600
Mailing address
9730 57TH AVE APT 2H, CORONA, NY 11368-3501
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
42509
NY
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
03/01/2024
Last updated
08/07/2026
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