Individual
MELANIE A MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
113 NORTH FIRST ST., STEELVILLE, MO 65565
(573) 775-4445
(573) 775-4467
Mailing address
PO BOX 1267, CAPE GIRARDEAU, MO 63702-1267
(573) 332-0416
(573) 335-2698
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2005016774
MO
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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