Individual
MELISSA ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADAC II
Contact information
Practice address
7509 CHARLESTOWN PIKE, CHARLESTOWN, IN 47111-9623
(812) 256-4686
Mailing address
1964 W DEER RUN, BRAZIL, IN 47834-7937
(812) 605-0381
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C2-5198
IN
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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