Individual
AMY MELLINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
994 ANDREWS AVE, OZARK, AL 36360-3758
(334) 618-3091
Mailing address
112 BOUGAINVILLEA CIRCLE, DOTHAN, AL 36301
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3796
AL
Other
Enumeration date
02/09/2018
Last updated
03/17/2018
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