MEDICARE: MELISSA MARIE SWITEK LCMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	12714	NC

General Provider Information

NPI Number	:	1023552098
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA MARIE SWITEK LCMHC

Provider Business Mailing Address
First Line	:	9723 NORTHCROSS CENTER CT STE E
Second Line	:
City	:	HUNTERSVILLE
State	:	NC
Zip	:	28078-7301
Country	:	US
Telephone Number	:	704-981-2306
Fax Number	:	704-981-2425

Provider Business Practice Location Address
First Line	:	9723 NORTHCROSS CENTER CT STE E
Second Line	:
City	:	HUNTERSVILLE
State	:	NC
Zip	:	28078-7301
Country	:	US
Telephone Number	:	704-981-2306
Fax Number	:	704-981-2425

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/11/2016
Last Update Date	:	03/08/2022

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