Individual
MELISSA FJELSTAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC, LPCC
Contact information
Practice address
3701 SHORELINE DR STE 102, WAYZATA, MN 55391-9591
(952) 314-7533
Mailing address
1075 MEADOW ST, COLOGNE, MN 55322-9098
(218) 290-0225
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
304619
MN
101YM0800X
Mental Health Counselor
Primary
CC02058
MN
Other
Enumeration date
07/21/2019
Last updated
07/21/2019
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