Individual provider · Type 1 NPI

Douglas Melancon

Mental Health Counselor · Staten Island, NY

NPI number 1477247450 Active

Practice location

777 Seaview Ave
Staten Island, NY 10305-3409

Call (718) 667-2798 Map

Fax (718) 668-8109

Mailing address

23 Winter Ave
Staten Island, NY 10301-2322

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1477247450

Douglas Melancon's National Provider Identifier is 1477247450, issued on Jun 5, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Staten Island, NY. The record was last updated on Jun 5, 2023.