Individual
MELISSA MAY WESCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SAC-IT
Contact information
Practice address
W3272 WOLF RIVER DR, KESHENA, WI 54135-9202
(715) 799-3861
Mailing address
PO BOX 280, KESHENA, WI 54135-0280
(715) 799-3861
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
20546-130
WI
171M00000X
Case Manager/Care Coordinator
20546-130
WI
Other
Enumeration date
04/24/2024
Last updated
05/31/2024
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