Individual
MELISSA LYNNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 RUSSELL SLADE BLVD, CORALVILLE, IA 52241-2667
(515) 520-7100
Mailing address
3 RUSSELL SLADE BLVD, CORALVILLE, IA 52241-2667
(515) 520-7100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
225700000X
Massage Therapist
Primary
116962
IA
Other
Enumeration date
12/13/2006
Last updated
10/23/2022
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