Individual
MRS. MELISSA MARIE PENWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LCMHC, NCC
Contact information
Practice address
2500 REGENCY PKWY, CARY, NC 27518-8549
(919) 319-1163
Mailing address
2500 REGENCY PKWY, CARY, NC 27518-8549
(919) 319-1163
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8358
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6104653
—
NC
Enumeration date
12/20/2010
Last updated
07/07/2021
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