Individual
MRS. MICHELLE ANGELA CLEMENTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
1235 MONTAUK HWY, MASTIC, NY 11950-2917
(631) 772-3217
(631) 874-3786
Mailing address
1235 MONTAUK HWY, MASTIC, NY 11950-2917
(631) 772-3217
(631) 874-3786
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
26410
NY
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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