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NPI Code Detail

MEDICARE: MELISSA ANN PARKER

MEDICARE: MELISSA ANN PARKER
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
1101YA0400XAddiction (Substance Use Disorder) CounselorCDCA.090419OH
2101YM0800XMental Health CounselorQMHSPLUS3OH
3101YA0400XAddiction (Substance Use Disorder) CounselorLCDCII.161356OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689187510
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA ANN PARKER
Provider Business Mailing Address
First Line : 6460 HARRISON AVE STE 200
Second Line :
City : CINCINNATI
State : OH
Zip : 45247-7958
Country : US
Telephone Number : 513-941-4999
Fax Number :
Provider Business Practice Location Address
First Line : 247 CIC BLVD
Second Line :
City : WEST UNION
State : OH
Zip : 45693-7512
Country : US
Telephone Number : 513-941-4999
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2017
Last Update Date : 12/04/2024

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Directions to “ MELISSA ANN PARKER ” Practice Location

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