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NPI Code Detail

MEDICARE: MELISSA DIANE PIERCE LPC

MEDICARE: MELISSA DIANE PIERCE 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
1101YP2500XProfessional Counselor3271LA

General Provider Information

NPI Number : 1508244351
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA DIANE PIERCE LPC
Provider Business Mailing Address
First Line : 4012 AVENUE H
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70615-5186
Country : US
Telephone Number : 318-441-5928
Fax Number :
Provider Business Practice Location Address
First Line : 4012 AVENUE H
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70615-5186
Country : US
Telephone Number : 318-441-5928
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2015
Last Update Date : 05/13/2015

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Directions to “ MELISSA DIANE PIERCE LPC” Practice Location

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