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General NPI Number Information
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NPI Number | 1912364571
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Entity Type | Individual
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Provider Name | MELISSA STEVENS L.P.C.
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Gender | Female
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Dates
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Enumeration Date | 01/26/2016
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 918 LACEY RD STE D
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City | FORKED RIVER
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State | NJ
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Zip | 08731-1063
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Country | US
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Telephone | 571-669-3400
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Fax |
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Provider Business Mailing Address
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Address Line | 320 WHEATON AVE
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City | BAYVILLE
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State | NJ
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Zip | 08721-2104
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 37PC00884000
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701007669
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License Number State | VA
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