Melanie Christine Maine, LPC-S
Counselor, Professional in Fort Worth, TX. Individual provider (NPI-1).
NPI number1245998699
StatusActive
Last updated in NPPESDec 2, 2021
Details
- NPI
- 1245998699
- Entity type
- Individual (NPI-1)
- Name
- Melanie Christine Maine
- Credential
- LPC-S
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 2, 2021
- Certification date
- Dec 2, 2021
- Last updated
- Dec 2, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 61924 | TX | Yes |
Practice location
9800 Hillwood Pkwy Ste 140Fort Worth, TX 76177-1532
Phone 817-291-2172
Mailing address
9800 Hillwood Pkwy Ste 140Fort Worth, TX 76177-1532
Phone 817-291-2172
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