Individual
PAUL ERIC MELBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
12295 LAKE BLVD, LINDSTROM, MN 55045-4416
(612) 799-8532
Mailing address
12295 LAKE BLVD, LINDSTROM, MN 55045-4416
(612) 799-8532
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/06/2014
Last updated
10/06/2014
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