NPI 1679100515 · live from the CMS NPI Registry
Melissa Marie Anderson, LPC
Counselor, Professional in Kodiak, AK. National Provider Identifier 1679100515, active.
NPI record
| NPI | 1679100515 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Professional 101YP2500X |
| Practice location | 3449 E Rezanof Dr, Kodiak, AK 99615 |
| Practice phone | 907-486-9844 |
| Enumerated | March 23, 2020 |
| Last updated | March 23, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Professional primary | 101YP2500X | 138652 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.