MEDICARE: MELLISSA ARENA MS

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	37PC00886900	NJ

General Provider Information

NPI Number	:	1629582721
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELLISSA ARENA MS

Provider Business Mailing Address
First Line	:	671 HOES LANE
Second Line	:
City	:	PISCATAWAY
State	:	NJ
Zip	:	08855
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	444 N MICHIGAN AVE STE 3400
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-3980
Country	:	US
Telephone Number	:	312-766-6780
Fax Number	:

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

Provider Enumeration Date	:	11/28/2017
Last Update Date	:	03/02/2023

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Directions to “ MELLISSA ARENA MS” Practice Location

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