Individual
MELISSA A MOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, MS
Contact information
Practice address
125 BIG SINK RD # B, VERSAILLES, KY 40383-1558
(859) 253-1686
(859) 254-2743
Mailing address
1351 NEWTOWN PIKE, LEXINGTON, KY 40511-1217
(859) 253-1686
(859) 254-2743
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
05-0034
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30615058
—
KY
Enumeration date
01/12/2007
Last updated
07/09/2007
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