Individual
MELISSA NICOLE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QTT
Contact information
Practice address
620 S 76TH ST, MILWAUKEE, WI 53214-1599
(414) 453-1400
(414) 453-2538
Mailing address
1345 N JEFFERSON ST # 316, MILWAUKEE, WI 53202-2644
(414) 217-4991
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4715
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255958468
—
WI
Enumeration date
07/03/2020
Last updated
09/01/2020
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