Individual
MELISSA M HERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1312 HIGHWAY 49 N, BEULAH, ND 58523-6038
(701) 873-4445
(701) 873-4199
Mailing address
1312 HIGHWAY 49 N, BEULAH, ND 58523-6038
(701) 873-4445
(701) 873-4199
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1665
ND
1041C0700X
Clinical Social Worker
Primary
3244
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
916321044421
PREFERRED ONE
ND
Enumeration date
03/09/2009
Last updated
09/30/2020
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