Individual
AUTUMN VERSTEGAN MELIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
13000 W BLUEMOUND RD STE 300, ELM GROVE, WI 53122-2650
(262) 785-9188
Mailing address
13000 W BLUEMOUND RD STE 300, ELM GROVE, WI 53122-2650
(262) 785-9188
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
8147125
WI
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
06/04/2019
Last updated
03/23/2021
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