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NPI Code Detail

MEDICARE: MS. MELISSA MCCUTCHEON LPCC

MEDICARE:  MS. MELISSA  MCCUTCHEON  LPCC
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 CounselorE3244OH
2103TP2701XGroup Psychotherapy Psychologist

General Provider Information

NPI Number : 1821109521
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MELISSA MCCUTCHEON LPCC
Provider Business Mailing Address
First Line : 23003 CHANDLERS LN
Second Line : 335
City : OLMSTED FALLS
State : OH
Zip : 44138-3266
Country : US
Telephone Number : 216-225-4461
Fax Number : 440-239-1925
Provider Business Practice Location Address
First Line : 32626 DETROIT RD
Second Line :
City : AVON
State : OH
Zip : 44011-2013
Country : US
Telephone Number : 216-225-4461
Fax Number : 440-239-1925
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 02/15/2012

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Directions to “ MS. MELISSA MCCUTCHEON LPCC” Practice Location

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