Individual
MELISSA KAY HERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
8956 E STATE HIGHWAY 76, BRANSON WEST, MO 65737-9687
(172) 305-8144
Mailing address
32 STONES LN, SPOKANE, MO 65754-9400
(417) 230-5814
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2017035839
MO
101YP2500X
Professional Counselor
Primary
2017035839
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490087069
—
MO
Enumeration date
05/03/2018
Last updated
11/02/2021
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