Individual
MELANIE TIFFANY AMINI-HAJIBASHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-IT, NCC
Contact information
Practice address
8901 W CAPITOL DR, MILWAUKEE, WI 53222-1706
(414) 265-6691
Mailing address
829 N CASS ST APT 11, MILWAUKEE, WI 53202-3932
(414) 265-6691
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4812226
WI
101YP2500X
Professional Counselor
Primary
8699-125
WI
Other
Enumeration date
11/15/2020
Last updated
08/12/2022
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