Individual
MELISSA M KOKENGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
625 COURT ST, SIOUX CITY, IA 51101-1919
(712) 252-3871
(877) 728-4419
Mailing address
625 COURT ST, SIOUX CITY, IA 51101-1919
(712) 252-3871
(877) 728-4419
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.1801081
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10028582900
—
NE
Enumeration date
06/04/2018
Last updated
01/16/2024
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