Individual
GLORIA S MELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
1423 N JEFFERSON AVE STE D200, SPRINGFIELD, MO 65802
(417) 761-5820
(417) 761-5821
Mailing address
1300 E BRADFORD PKWY, SPRINGFIELD, MO 65804-4264
(417) 761-5000
(417) 761-5011
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2009007042
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490001946
—
MO
Enumeration date
12/21/2012
Last updated
06/26/2020
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