Individual
MELISSA JANEA NYQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1405 CYPRESS DR, GREENWOOD, MO 64034-8626
(816) 517-8226
Mailing address
1405 CYPRESS DR, GREENWOOD, MO 64034-8626
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3292
KS
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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