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NPI Code Detail

MEDICARE: MELISSA NOVALIS LPC

MEDICARE:   MELISSA  NOVALIS  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
1101YM0800XMental Health Counselor00257NJ

General Provider Information

NPI Number : 1154745065
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA NOVALIS LPC
Provider Business Mailing Address
First Line : 150 SPRING VALLEY RD
Second Line :
City : MORRISTOWN
State : NJ
Zip : 07960-6418
Country : US
Telephone Number : 973-966-8690
Fax Number :
Provider Business Practice Location Address
First Line : 150 SPRING VALLEY RD
Second Line :
City : MORRISTOWN
State : NJ
Zip : 07960-6418
Country : US
Telephone Number : 973-966-8690
Fax Number : 973-520-4228
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2014
Last Update Date : 02/12/2014

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Directions to “ MELISSA NOVALIS LPC” Practice Location

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