Melody Magnus, LPC
Counselor, Professional in Stephenville, TX. Individual provider (NPI-1).
NPI number1104586643
StatusActive
Last updated in NPPESDec 25, 2021
Details
- NPI
- 1104586643
- Entity type
- Individual (NPI-1)
- Name
- Melody Magnus
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 25, 2021
- Certification date
- Dec 17, 2021
- Last updated
- Dec 25, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 80719 | TX | Yes |
Practice location
178 W Long StStephenville, TX 76401-4232
Phone 517-215-1166
Mailing address
1111 Greens Creek CirStephenville, TX 76401-5176
Phone 517-215-1166
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