Individual
DR. MELISSA JEAN IVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
40 MARKET SQUARE, HOULTON, ME 04730-1742
(207) 941-8727
(207) 992-2784
Mailing address
21 MAIN ST., SUITE 301, BANGOR, ME 04401-6359
(207) 941-8727
(207) 992-2784
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC2033
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275820099
—
ME
Enumeration date
05/15/2007
Last updated
11/16/2009
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