Individual
MARIBEL MELENDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
19 ELLEN ST APT 1R, CHICOPEE, MA 01013-3061
(413) 363-3864
Mailing address
19 ELLEN ST APT 1R, CHICOPEE, MA 01013-3061
(413) 363-3864
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22600
MA
101YP2500X
Professional Counselor
2068
PR
103TC1900X
Counseling Psychologist
5493
PR
Other
Enumeration date
02/11/2010
Last updated
02/09/2023
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