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MELESA-ROSE MUDONG CASAC-T
NPI 1730930579
Counselor - Addiction (Substance Use Disorder) in Utica, NY

Active since March 29, 2024
1213 COURT ST STE 100, UTICA, NY 13502(315) 624-9835(315) 624-9838 Get Directions Write a Review

NPPES record last updated: March 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Melesa-rose Mudong Casac-t NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELESA-ROSE MUDONG CASAC-T (NPI 1730930579) is an individual addiction (substance use disorder) provider in Utica, New York and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1730930579
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMELESA-ROSE MUDONGCredential: CASAC-T
Location Address1213 COURT ST STE 100Utica, NY 13502-3803
Mailing Address1213 Court St Ste 100Utica, NY 13502-3803 · (315) 624-9835 · Fax (315) 624-9838
Phone(315) 624-9835
Fax(315) 624-9838
Sole ProprietorNo
Enumeration DateMarch 29, 2024
NPPES CertifiedMarch 29, 2024
✔ NPI 1730930579 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1213 COURT ST STE 100, Utica, NY 13502
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOANNE LEIGH ABBOUD
Licensed Practical Nurse
1213 COURT ST STE 100
UTICA, NY 13502
Oneida County (315) 624-9837
MARYCATHERINE KRUL CASAC
Counselor (Addiction (Substance Use Disorder))
1213 COURT ST STE 100
UTICA, NY 13502
Oneida County (315) 624-9835
KENDRA MANZER CASAC
Counselor (Addiction (Substance Use Disorder))
1213 COURT ST STE 100
UTICA, NY 13502
Oneida County (315) 624-9835
ASHLEY R LALLIER LMHC, MASTER CASAC
Counselor (Addiction (Substance Use Disorder))
1213 COURT ST STE 100
UTICA, NY 13502
Oneida County (315) 624-9835
HEATHER ANN NICHOLS CASAC-T
Counselor (Addiction (Substance Use Disorder))
1213 COURT ST STE 100
UTICA, NY 13502
Oneida County (315) 624-9835

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melesa-rose Mudong's NPI number?

The NPI number for Melesa-rose Mudong is 1730930579. It was assigned to this individual provider in the NPPES registry on March 29, 2024.

Where is Melesa-rose Mudong located?

Melesa-rose Mudong practices at 1213 Court St Ste 100, Utica, NY 13502. The listed phone number is (315) 624-9835.

What is Melesa-rose Mudong's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Melesa-rose Mudong was last updated on March 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.