Individual
ALYSSA MELVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
112 KANSAS ST, FRANKFORT, IL 60423-1447
(708) 552-7330
Mailing address
1811 WILDSPRING PKWY, JOLIET, IL 60431-8861
(630) 373-1597
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178013126
IL
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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