Individual
MELANIE CONQUEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CPRS
Contact information
Practice address
19 JEFFERSON ST APT 4C, HACKENSACK, NJ 07601-5043
(630) 479-2127
Mailing address
19 JEFFERSON ST APT 4C, HACKENSACK, NJ 07601-5043
(630) 479-2127
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/22/2020
Last updated
02/01/2021
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