Individual
RYANNE MELLICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
3133 HENNEPIN AVE, MINNEAPOLIS, MN 55408-2620
(612) 293-9192
Mailing address
3133 HENNEPIN AVE, MINNEAPOLIS, MN 55408-2620
(612) 293-9192
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/20/2022
Last updated
10/24/2024
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