Individual
MELISSA NICOLE LOVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
2504 CAMINO ENTRADA, SANTA FE, NM 87507-4851
(505) 471-5006
Mailing address
2504 CAMINO ENTRADA, SANTA FE, NM 87507-4851
(505) 471-5006
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CMH0214431
NM
101YP2500X
Professional Counselor
Primary
CTB-2022-0912
NM
Other
Enumeration date
12/04/2020
Last updated
11/28/2022
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