person
Melesa-rose Mudong, CASAC-T
Addiction (Substance Use Disorder) Counselor in Utica, New York
NPI 1730930579

Melesa-rose Mudong is an Addiction (Substance Use Disorder) Counselor based in Utica, NY and is specialized in Addiction (Substance Use Disorder). Melesa-rose Mudong practices in Utica, NY and has the professional credentials of CASAC-T. The NPI Number for Melesa-rose Mudong is 1730930579 and holds a License No. (New York).

The current practice location address for Melesa-rose Mudong is 1213 Court St Ste 100, Utica, NY and can be reached out via phone at 315-624-9835 and via fax at 315-624-9838. You can also correspond with Melesa-rose Mudong through the mailing address at 1213 COURT ST STE 100, UTICA, NY - 13502-3803 (mailing address contact number: 315-624-9835).

Location: 1213 Court St Ste 100, Utica, NY, 13502-3803
person
Provider Profile Details
NPI Number
1730930579
Provider Name
Melesa-rose Mudong
Credential
CASAC-T
Provider Entity Type
Individual
Gender
Female
Address
1213 Court St Ste 100, Utica, NY, 13502-3803
Phone Number
315-624-9835
Fax Number
315-624-9838
Provider Enumeration Date
03/29/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1213 Court St Ste 100
City
State
Zip
13502-3803
Phone Number
315-624-9835
Fax Number
315-624-9838
person
Provider Business Mailing Address Details
Address
1213 Court St Ste 100
City
State
Zip
13502-3803
Phone Number
315-624-9835
Fax Number
315-624-9838
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
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Definition
Definition to come...
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