Individual
MELISSA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LPC, NCC
Contact information
Practice address
10303 N PORT WASHINGTON RD STE 203, MEQUON, WI 53092-5760
(262) 716-7398
Mailing address
10220 N FOXKIRK DR, MEQUON, WI 53097-3622
(262) 716-7398
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6254-125
WI
Other
Enumeration date
05/28/2013
Last updated
02/17/2021
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