Individual
MELISSA DAWN DUVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1006 FORD AVE, OWENSBORO, KY 42301-4677
(270) 688-4845
(270) 688-4811
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 688-1330
(270) 688-1338
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
103106
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100584410
—
KY
Enumeration date
04/02/2012
Last updated
03/26/2019
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