Individual
MELANIE NICOLE LONGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
151 RIVIERA DR STE B, LAKE HAVASU CITY, AZ 86403-5740
(928) 855-3432
Mailing address
3707 N STOCKTON HILL RD, KINGMAN, AZ 86409-0507
(928) 855-3432
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-22385
AZ
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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