Individual
MISS MELISSA LEE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED MAADC II MARS
Contact information
Practice address
2027 CAMPUS DR, SAINT CHARLES, MO 63301-1047
(636) 321-7600
(636) 757-3728
Mailing address
1513 JEFFERSON ROAD, BOONVILLE, MO 65233
(573) 836-0076
(573) 449-8344
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/29/2016
Last updated
08/30/2024
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