Individual
MS. MELLISA ANN JEWELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
18 GOOSE HILL RD, COLD SPRING HARBOR, NY 11724-1308
(631) 692-9689
Mailing address
18 GOOSE HILL RD, COLD SPRING HARBOR, NY 11724-1308
(631) 692-9689
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000946-1
NY
Other
Enumeration date
04/25/2012
Last updated
05/21/2012
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