Individual
MRS. MELISSA ANNE ELLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
18049 OAK ST STE B, OMAHA, NE 68130-6093
(402) 680-2699
Mailing address
18049 OAK ST STE B, OMAHA, NE 68130-6093
(402) 680-2699
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
001740
IA
101YM0800X
Mental Health Counselor
Primary
2155
NE
Other
Enumeration date
11/12/2012
Last updated
09/13/2022
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