MEDICARE: MS. MELISSA DUVAL 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	37PC00965800	NJ

General Provider Information

NPI Number	:	1982435418
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MELISSA DUVAL LPC

Provider Business Mailing Address
First Line	:	1110B N STILES ST
Second Line	:
City	:	LINDEN
State	:	NJ
Zip	:	07036-6122
Country	:	US
Telephone Number	:	973-444-1429
Fax Number	:

Provider Business Practice Location Address
First Line	:	2333 MORRIS AVE STE C206
Second Line	:
City	:	UNION
State	:	NJ
Zip	:	07083-5739
Country	:	US
Telephone Number	:	908-291-2727
Fax Number	:

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

Provider Enumeration Date	:	08/07/2024
Last Update Date	:	08/07/2024

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