Individual provider · Type 1 NPI

Melesa-Rose Mudong, CASAC-T

Addiction (Substance Use Disorder) Counselor · Utica, NY

NPI number 1730930579 Active

Practice location

1213 Court St Ste 100
Utica, NY 13502-3803

Call (315) 624-9835 Map

Fax (315) 624-9838

Specialties and licenses

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

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

5 other providers at this address

Other addiction (substance use disorder) counselor providers in Utica

See all in Utica →

About NPI 1730930579

Melesa-Rose Mudong, CASAC-T's National Provider Identifier is 1730930579, issued on Mar 29, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Utica, NY. The record was last updated on Mar 29, 2024.