Individual
MELISSA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1330 WIN HENTSCHEL BLVD, WEST LAFAYETTE, IN 47906-4149
(765) 444-3999
(765) 838-0468
Mailing address
1330 WIN HENTSCHEL BLVD STE 202, WEST LAFAYETTE, IN 47906-4149
(765) 444-3999
(765) 838-0468
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39004052A
IN
Other
Enumeration date
09/06/2021
Last updated
09/27/2022
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