Individual
MRS. MELISSA A QUICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
10 N MAIN ST, CORTLAND, NY 13045
(607) 753-0234
(607) 753-0286
Mailing address
165 MAIN ST STE A, CORTLAND, NY 13045-3049
(607) 753-0234
(607) 753-0286
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19321
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1336163963
—
NY
Enumeration date
05/25/2010
Last updated
06/28/2018
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