Individual
MELISSA KRISTINE MCLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2725 HIGHWAY 51 S, HERNANDO, MS 38632-2634
(662) 449-1971
(662) 449-1974
Mailing address
815 N 8TH AVE, CANTON, IL 61520-1430
(309) 344-4236
(309) 344-4281
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
2977
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
370984175
FEIN ORGANIZATION
IL
Enumeration date
03/19/2007
Last updated
03/07/2024
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