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Jillian Leigh Mellon
Mental Health Counselor in Commack, New York
NPI 1669807418

Jillian Leigh Mellon is a Mental Health Counselor based in Commack, NY and is specialized in Mental Health. Jillian Leigh Mellon practices in Commack, NY. The NPI Number for Jillian Leigh Mellon is 1669807418 and holds a License No. 006525 (New York).

The current practice location address for Jillian Leigh Mellon is 368 Veterans Memorial Hwy, Commack, NY and can be reached out via phone at 631-533-0315.

Location: 368 Veterans Memorial Hwy, Commack, NY, 11725-4322
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669807418
Provider Name
Jillian Leigh Mellon
Credential
Provider Entity Type
Individual
Gender
Female
Address
368 Veterans Memorial Hwy, Commack, NY, 11725-4322
Phone Number
631-533-0315
Fax Number
Provider Enumeration Date
09/12/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
368 Veterans Memorial Hwy
City
Commack
State
New York
Zip
11725-4322
Phone Number
631-533-0315
Fax Number
person
Provider Business Mailing Address Details
Address
368 Veterans Memorial Hwy
City
Commack
State
New York
Zip
11725-4322
Phone Number
631-533-0315
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
006525 (New York)
Definition
Definition to come...
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