MEDICARE: MELISSA DUELL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	17593	NY

General Provider Information

NPI Number	:	1184344830
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA DUELL

Provider Business Mailing Address
First Line	:	3 HAMPSTEAD PL APT 313
Second Line	:
City	:	SARATOGA SPRINGS
State	:	NY
Zip	:	12866-5562
Country	:	US
Telephone Number	:	518-879-8621
Fax Number	:

Provider Business Practice Location Address
First Line	:	3 HAMPSTEAD PL
Second Line	:
City	:	SARATOGA SPRINGS
State	:	NY
Zip	:	12866-5397
Country	:	US
Telephone Number	:	518-879-8621
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/01/2022
Last Update Date	:	03/06/2026

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