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Individual
MS. MELISSA ELAINE JENNICHES
Active
Individual
MS. MELISSA ELAINE JENNICHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC I, QMHA I, CRM
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
24-05-11138
OR
101YM0800X
Mental Health Counselor
—
—
175T00000X
Peer Specialist
—
OR
Other
Enumeration date
05/14/2015
Last updated
10/22/2024
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