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Individual

MRS. MELISSA CLONTZ AUSTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NCC, LPC

Contact information

Practice address
6 PARK SQ, GRANITE FALLS, NC 28630-1528
(828) 396-4300
(828) 212-0852
Mailing address
4070 SPARTAN DR, HUDSON, NC 28638-9016
(828) 396-2493

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5265
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6103301
NC
Enumeration date
11/03/2006
Last updated
11/21/2018
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