MEDICARE: MELISSA HUTZELL

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	101YM0800X	Mental Health Counselor		IL

General Provider Information

NPI Number	:	1386206258
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA HUTZELL

Provider Business Mailing Address
First Line	:	333 COMMERCE DR STE 300
Second Line	:
City	:	CRYSTAL LAKE
State	:	IL
Zip	:	60014-3596
Country	:	US
Telephone Number	:	224-484-0649
Fax Number	:

Provider Business Practice Location Address
First Line	:	333 COMMERCE DR STE 300
Second Line	:
City	:	CRYSTAL LAKE
State	:	IL
Zip	:	60014-3596
Country	:	US
Telephone Number	:	224-484-0649
Fax Number	:

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

Provider Enumeration Date	:	07/01/2019
Last Update Date	:	03/10/2026

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Directions to “ MELISSA HUTZELL ” Practice Location

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