Individual provider · Type 1 NPI

Melissa Revelo

Addiction (Substance Use Disorder) Counselor · Woodside, NY

NPI number 1124499868 Active

Practice location

6207 Woodside Ave, 4th Floor
Woodside, NY 11377-3576

Fax (718) 898-5582

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X095354 (NY)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1124499868

Melissa Revelo's National Provider Identifier is 1124499868, issued on Oct 7, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Woodside, NY. The record was last updated on Oct 7, 2015.