Individual
MR. TEODORO CARMELO MELENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BACHELOR
Contact information
Practice address
227 MILL ST, SPRINGFIELD, MA 01108-1007
(713) 747-9071
(413) 747-9075
Mailing address
88 DEBRA DR APT 3B, CHICOPEE, MA 01020-2291
(413) 330-1944
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/17/2006
Last updated
11/08/2016
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