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Individual
MISS MELISSA CHRISTINE THREADGILL
Active
Individual
MISS MELISSA CHRISTINE THREADGILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, R-DMT
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC019611
PA
225600000X
Dance Therapist
—
—
Other
Enumeration date
09/18/2023
Last updated
02/12/2026
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