Individual
MELISSA HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MMFT
Contact information
Practice address
166 CENTER ST STE 100, CAPE CANAVERAL, FL 32920-3740
(321) 323-9745
Mailing address
1001 BALI RD, COCOA BEACH, FL 32931-3078
(480) 250-4073
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
IMT3027
FL
Other
Enumeration date
07/28/2020
Last updated
07/28/2020
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