Individual
MELINDA FAYE MASSENGALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CT
Contact information
Practice address
530 S MAIN ST, LIMA, OH 45804-1240
(419) 708-2110
Mailing address
530 S MAIN ST, LIMA, OH 45804-1500
(419) 708-2110
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
04/02/2019
Last updated
04/02/2019
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