Individual
JEAN MARIE MELCONIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATR-BC, LCAT
Contact information
Practice address
2 WHITE BIRCH DR, DIX HILLS, NY 11746-7720
(516) 238-0625
Mailing address
2 WHITE BIRCH DR, DIX HILLS, NY 11746-7720
(516) 238-0625
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
001959
NY
Other
Enumeration date
06/06/2018
Last updated
04/26/2021
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