Individual
AMBRYN DANA MELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
4826 CHICAGO AVE, MINNEAPOLIS, MN 55417-1001
(612) 827-3028
(612) 823-4993
Mailing address
4826 CHICAGO AVE, MINNEAPOLIS, MN 55417-1001
(773) 444-9714
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC02102
MN
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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