Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JESSE R MELLOR, LADC
Active Sole ProprietorMR. JESSE R MELLOR, LADC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in WORCESTER, Massachusetts. NPI 1275788663 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · WORCESTER, MA
Registration Details
- NPI Number
- 1275788663
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 26, 2008 (17.67568514263 yrs)
- Last Updated
- Nov 26, 2008
- License
-
114 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
44 FRONT ST490WORCESTER, MA, 016081733Browse MA providers · Browse ZIP 01608
- Phone
- 5087992934
- Fax
- 5087701732
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in WORCESTER, MA
| Name | Credential | NPI |
|---|---|---|
| MR. JACQUES LUCIEN TRUDEL | M.A.,LADC I | 1801805643 |
| JENNIFER LEIGH GILBERT | LADC I | 1891800090 |
| MS. JANE K SHROPSHIRE | RNCS | 1730295338 |
| MR. KEVIN M STEWART | PSYD LADAC CADAC | 1750497368 |
| MRS. TINA BRIEN MATTHEWS | CADAC | 1023124641 |
| MR. ROBERT T NICHOLS | LMHC LADCI CADAC | 1881700490 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.