Individual
MELISSA VERMILLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2230 S KINNICKINNIC AVE, MILWAUKEE, WI 53207-1330
(414) 209-4235
Mailing address
2226 S KINNICKINNIC AVE # 1, MILWAUKEE, WI 53207-1330
(414) 801-1809
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
8162-125
WI
Other
Enumeration date
08/22/2018
Last updated
12/22/2022
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