Individual
MELISSA LONGTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
808 WASHINGTON AVE STE 22D, DETROIT LAKES, MN 56501-3068
(218) 849-7524
Mailing address
16055 BLACKHAWK RD, LAKE PARK, MN 56554-9318
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
538-9-15-05-341
ND
101YP2500X
Professional Counselor
Primary
CC05013
MN
Other
Enumeration date
07/02/2021
Last updated
06/19/2025
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