Individual
MELISSA ANN HAAG-COSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC-S, LICDC-CS
Contact information
Practice address
2816 BLUEGRASS DR, HIGHLAND HEIGHTS, KY 41076
(859) 442-8500
Mailing address
2816 BLUEGRASS DR, HIGHLAND HEIGHTS, KY 41076-1577
(859) 442-8500
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
091045
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
168456
KY
101YP2500X
Professional Counselor
Primary
103086
KY
101YP2500X
Professional Counselor
E.0501096-SUPV
OH
Other
Enumeration date
01/02/2008
Last updated
11/28/2018
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