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Individual

MRS. MELODY DEANNE BECKER PULLMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
400 CENTRAL AVE NW STE 300, ORANGE CITY, IA 51041-1332
(712) 737-2635
(712) 737-2344
Mailing address
400 CENTRAL AVE NW STE 300, ORANGE CITY, IA 51041-1332
(712) 737-2635
(712) 737-2344

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
083831
IA
101YM0800X
Mental Health Counselor
LPC-MH2204
SD
101YP2500X
Professional Counselor
LPC994
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
083831
STATE LICENSE
IA
Enumeration date
12/04/2006
Last updated
03/22/2018
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