Individual
MS. MELANIE FISH AMIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC I
Contact information
Practice address
1329 MAIN ST, WORCESTER, MA 01603-1548
(508) 556-6795
Mailing address
48 HICKORY DR, WORCESTER, MA 01609-1016
(508) 667-8238
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13260
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0358
—
MA
Enumeration date
12/30/2022
Last updated
12/30/2022
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