MELISSA JEAN WENSDOFER

SMITHTOWN, NY
NPI1154148518
Former NameMELISSA JEAN EVANS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  29298)
Enumeration Date2024-09-25
Last Update Date2024-09-25
Business Address
MELISSA JEAN WENSDOFER CASAC
161 E MAIN ST
SMITHTOWN, NY 11787-2879
Phone number: 631-360-7595
Mailing Address
MELISSA JEAN WENSDOFER CASAC
161 E MAIN ST
SMITHTOWN, NY 11787-2879
Phone number: 631-360-7595