Individual
MS. MELANIE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
1366 INWOOD AVE, BRONX, NY 10452-3203
(646) 401-9700
Mailing address
445 GRAMATAN AVE APT IC1, MOUNT VERNON, NY 10552-4004
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20127
NY
Other
Enumeration date
04/15/2014
Last updated
04/15/2014
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