Individual provider · Type 1 NPI

Melissa Marie Gericke, MA, NCC, CCMHC

Addiction (Substance Use Disorder) Counselor · Ithaca, NY

NPI number 1275050668 Active

Practice location

201 E Green St
Ithaca, NY 14850-5635

Mailing address

442 N Geneva St Apt 1B
Ithaca, NY 14850-4141

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1275050668

Melissa Marie Gericke, MA, NCC, CCMHC's National Provider Identifier is 1275050668, issued on Aug 25, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Ithaca, NY. The record was last updated on Aug 25, 2017.