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Alyssa Melvin

Counselor, Professional in Frankfort, IL. Individual provider (NPI-1).

NPI number1316632698
StatusActive
Last updated in NPPESApr 11, 2023

Details

NPI
1316632698
Entity type
Individual (NPI-1)
Name
Alyssa Melvin
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 11, 2023
Certification date
Apr 11, 2023
Last updated
Apr 11, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional178013126ILYes

Practice location

112 Kansas St
Frankfort, IL 60423-1447

Phone 708-552-7330

Mailing address

1811 Wildspring Pkwy
Joliet, IL 60431-8861

Phone 630-373-1597

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