Individual
MICHAEL VELEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC-T
Contact information
Practice address
716 FAIRMOUNT PL, BRONX, NY 10457-6405
(917) 689-3966
Mailing address
716 FAIRMOUNT PL, BRONX, NY 10457-6405
(917) 689-3966
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ED0113
NY
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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