Individual
MELISSA LYNN SPICER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
620 BABCOCK BLVD E, DELANO, MN 55328-8603
(612) 568-6161
Mailing address
372 GREENWAY DR, DELANO, MN 55328-4571
(612) 568-6161
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
02222
MN
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1598282477
—
MN
Enumeration date
08/23/2017
Last updated
03/15/2020
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