# STEPHANIE L MELMER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1720401839
- **Gender:** F
- **Credential:** LCSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | BBH-LCSW-LIC-5404 | MT | — |
| 101YM0800X | Mental Health Counselor | BBH-LCSW-LIC-5404 | MT | — |
| 1041C0700X | Clinical Social Worker | BBH-LCSW-LIC-5404 | MT | Yes |

## Other

- **Enumeration date:** 01/24/2014
- **Last updated:** 02/02/2024