Individual
MS. MELISSA WEITEKAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CRC
Contact information
Practice address
246 WILSON PIKE CIRCLE, BRENTWOOD, TN 37027
(615) 236-6566
Mailing address
421 LIBERTY PIKE APT 201, FRANKLIN, TN 37064-3196
(262) 993-6714
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
00117025
WI
Other
Enumeration date
06/16/2020
Last updated
06/16/2020
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