Organization
MELINDA MOTTER,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELINDA MOTTER LPC (LICENSED PROFESSIONAL COUNSELOR)
(573) 874-8818
Entity
Organization
Contact information
Practice address
1310 OLD HIGHWAY 63 S STE 1, COLUMBIA, MO 65201-6078
(573) 874-8818
Mailing address
1310 OLD HIGHWAY 63 S STE 1, COLUMBIA, MO 65201-6078
(573) 874-8818
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2010041702
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558664268
—
MO
Enumeration date
01/17/2017
Last updated
01/17/2017
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