Individual
MELANIE DE QUADROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3575 MACON RD, SUITE 18, COLUMBUS, GA 31907-8200
(706) 565-5927
(706) 565-8207
Mailing address
3575 MACON RD, SUITE 18, COLUMBUS, GA 31907-8200
(706) 565-5927
(706) 565-8207
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC006925
GA
103T00000X
Psychologist
6301013232
MI
Other
Enumeration date
12/02/2010
Last updated
06/03/2013
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