Individual
MELISSA CARINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC , CSAC
Contact information
Practice address
101 E BROADWAY # 2, WAUKESHA, WI 53186-5006
(262) 547-5567
Mailing address
101 W BROADWAY FL 2, WAUKESHA, WI 53186-4833
(262) 547-5567
(262) 547-1608
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
WI
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
6115-125
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1962814780
—
WI
Enumeration date
05/28/2014
Last updated
02/27/2019
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