Individual
MELISSA MAY DONEGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2419 NICOLLET AVE, MINNEAPOLIS, MN 55404-3450
(612) 871-3320
Mailing address
2247 HILLVIEW RD, MOUNDS VIEW, MN 55112-1225
(612) 871-3320
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
169559
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
169559
IAPSRS
MN
Enumeration date
05/15/2007
Last updated
07/08/2007
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