Individual
MELANIE R DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1032 CROSSWINDS CT, WENTZVILLE, MO 63385-4836
(888) 403-1071
(636) 332-9950
Mailing address
1800 COMMUNITY, CLINTON, MO 64735-8804
(660) 885-8131
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2018041176
MO
Other
Enumeration date
12/05/2019
Last updated
12/05/2019
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