Individual
MELISSA MELLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3830 FOREST DR, COLUMBIA, SC 29204-4145
(803) 563-7766
Mailing address
163 BEACONS FIELD RD, COLUMBIA, SC 29209-5092
(803) 563-7766
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
7764
SC
101YP2500X
Professional Counselor
Primary
7764
SC
Other
Enumeration date
10/12/2015
Last updated
12/17/2024
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