Individual
MELLETTE MAURICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
TLMFT
Contact information
Practice address
520 11TH ST NW, CEDAR RAPIDS, IA 52405-3835
(319) 398-3562
Mailing address
520 11TH ST NW, CEDAR RAPIDS, IA 52405-3835
(319) 398-3562
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
126378
IA
Other
Enumeration date
10/15/2020
Last updated
09/23/2024
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