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Individual

MIQUEL KATHERINE ANASTASI-MELCHERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
1290 JORDAN STREET, NORTH LIBERTY, IA 52317-8020
(319) 356-6352
(319) 358-2367
Mailing address
1290 JORDAN STREET, NORTH LIBERTY, IA 52317-8020
(319) 356-6352
(319) 358-2367

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001269
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1801885033
NPI
01
1922097484
NPI
Enumeration date
06/14/2017
Last updated
07/21/2022
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