Individual provider · Type 1 NPI

Melissa Sue Gonzalez-Vazquez, MSW, CASAC

Addiction (Substance Use Disorder) Counselor · Glen Cove, NY

NPI number 1720294416 Active

Practice location

113 Glen Cove Ave
Glen Cove, NY 11542-3438

Call (516) 676-2388 Map

Fax (516) 759-5259

Mailing address

1025 Merillon Ave
Westbury, NY 11590-5519

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X21412 (NY)

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

55 other providers at this address

About NPI 1720294416

Melissa Sue Gonzalez-Vazquez, MSW, CASAC's National Provider Identifier is 1720294416, issued on May 16, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Glen Cove, NY. The record was last updated on Apr 6, 2011.