Individual
MELANIE MCDONALD-STUDENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2133 E RAYNELL ST, SPRINGFIELD, MO 65804-4542
(417) 300-4449
Mailing address
2133 E RAYNELL ST, SPRINGFIELD, MO 65804-4542
(417) 300-4449
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2005037279
MO
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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