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NPI Code Detail

MEDICARE: MELISSA JOY DUTCHER MA, LMHC

MEDICARE: MELISSA JOY DUTCHER MA, LMHC
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 Counselor39001927AIN

General Provider Information

NPI Number : 1255514360
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA JOY DUTCHER MA, LMHC
Provider Business Mailing Address
First Line : 8 MORGAN BLVD
Second Line :
City : VALPARAISO
State : IN
Zip : 46383-4836
Country : US
Telephone Number : 219-464-9495
Fax Number :
Provider Business Practice Location Address
First Line : 8 MORGAN BLVD
Second Line :
City : VALPARAISO
State : IN
Zip : 46383-4836
Country : US
Telephone Number : 219-464-9495
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2007
Last Update Date : 12/12/2007

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