Individual
MELISSA ANN MORRISSETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW. CMHS
Contact information
Practice address
406 MAIN ST STE 115, EDMONDS, WA 98020-3166
(206) 755-7908
Mailing address
PO BOX 515, EDMONDS, WA 98020-0515
(206) 755-7908
(206) 000-0000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LW60090854
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP00006445
WA
104100000X
Social Worker
Primary
LW60090854
WA
1041C0700X
Clinical Social Worker
LW60090854
WA
Other
Enumeration date
01/02/2007
Last updated
09/24/2020
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