Individual
MS. MARIE DIANE MELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
111 ASHLEY DR, FAIRHOPE, AL 36532-2702
(251) 928-9870
Mailing address
111 ASHLEY DR, FAIRHOPE, AL 36532-2702
(251) 928-9870
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1766
AL
Other
Enumeration date
06/20/2012
Last updated
06/20/2012
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