Individual provider · Type 1 NPI

Melissa Shannon Quilty

Addiction (Substance Use Disorder) Counselor · St. Augustine, FL

NPI number 1487132239 Active

Practice location

3574 US 1 S Ste 102
St. Augustine, FL 32086-6467

Call (904) 217-7161 Map

Fax (904) 217-4075

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 1487132239

Melissa Shannon Quilty's National Provider Identifier is 1487132239, issued on Aug 3, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in St. Augustine, FL. The record was last updated on Aug 3, 2018.