Individual
MELISSA M. STEPHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
788 W CONNEXION WAY, COLUMBIA CITY, IN 46725-1046
(260) 481-2700
Mailing address
909 E STATE BLVD, FORT WAYNE, IN 46805-3458
(260) 482-9125
(260) 481-2838
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/23/2016
Last updated
02/17/2020
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