MEDICARE: MELISSA K ZEHNER LPC

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	37PC00507900	NJ

General Provider Information

NPI Number	:	1831739184
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA K ZEHNER LPC

Provider Business Mailing Address
First Line	:	190 PROSPECT PL
Second Line	:
City	:	RUTHERFORD
State	:	NJ
Zip	:	07070-1619
Country	:	US
Telephone Number	:	917-608-4953
Fax Number	:

Provider Business Practice Location Address
First Line	:	543 VALLEY RD STE 9
Second Line	:
City	:	UPPER MONTCLAIR
State	:	NJ
Zip	:	07043-1844
Country	:	US
Telephone Number	:	732-902-2181
Fax Number	:

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

Provider Enumeration Date	:	01/14/2020
Last Update Date	:	01/14/2020

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