Individual
MELISSA VINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., TEMPORARY LMHC
Contact information
Practice address
812 COMMERCIAL ST, GRINNELL, IA 50112
(641) 236-0273
Mailing address
812 COMMERCIAL ST, GRINNELL, IA 50112-2143
(641) 236-0273
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
082590
IA
Other
Enumeration date
10/20/2016
Last updated
05/21/2018
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