Provider Demographics
NPI:1518529247
Name:ALDOUS, CLAUDE MELBERN (MS, LMHC)
Entity Type:Individual
Prefix:MR
First Name:CLAUDE
Middle Name:MELBERN
Last Name:ALDOUS
Suffix:
Gender:M
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 COUSINTOWN RD
Mailing Address - Street 2:
Mailing Address - City:DE KALB JCT
Mailing Address - State:NY
Mailing Address - Zip Code:13630-4156
Mailing Address - Country:US
Mailing Address - Phone:315-261-8064
Mailing Address - Fax:
Practice Address - Street 1:2746 STATE HIGHWAY 68
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:NY
Practice Address - Zip Code:13617-3842
Practice Address - Country:US
Practice Address - Phone:315-261-8064
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-02
Last Update Date:2019-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007489101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health