Individual
MELISSA ANN LEVERENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
2405 8TH ST S STE 200, MOORHEAD, MN 56560-4200
(218) 331-4866
(218) 331-4867
Mailing address
1900 SILVER LAKE RD NW STE 110, NEW BRIGHTON, MN 55112-1789
(651) 379-1704
(651) 628-0411
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4244
ND
101YM0800X
Mental Health Counselor
AP09-524
MN
1041C0700X
Clinical Social Worker
Primary
19653
MN
Other
Enumeration date
04/23/2009
Last updated
01/09/2025
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