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NPI Code Detail

MEDICARE: MELISSA CATHERINE MITCHELL

MEDICARE:   MELISSA CATHERINE MITCHELL
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 Counselor37AC00315900NJ

General Provider Information

NPI Number : 1801507876
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA CATHERINE MITCHELL
Provider Business Mailing Address
First Line : 610 VALLEY HEALTH PLZ
Second Line :
City : PARAMUS
State : NJ
Zip : 07652-3607
Country : US
Telephone Number : 201-986-5044
Fax Number :
Provider Business Practice Location Address
First Line : 701 RIDGEWOOD RD
Second Line :
City : TOWNSHIP OF WASHINGTON
State : NJ
Zip : 07676-4811
Country : US
Telephone Number : 551-588-0689
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2022
Last Update Date : 12/09/2022

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Directions to “ MELISSA CATHERINE MITCHELL ” Practice Location

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