Individual
MELISSA MATHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3732 LAKESIDE DR STE 202, RENO, NV 89509-4519
(775) 688-1670
Mailing address
PO BOX 333, SPICER, MN 56288-0333
(507) 218-8492
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CI5692
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/06/2023
Last updated
04/06/2026
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