Individual
MELISSA DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1369 BROADWAY, NEW YORK, NY 10018-7200
(212) 268-8830
Mailing address
1369 BROADWAY, NEW YORK, NY 10018-7200
(212) 268-8830
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
107827
NY
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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