person
Mrs. Michele A. Melvin, EDS,LCPC
Professional Counselor in Champaign, Illinois
NPI 1184755449

Michele A. Melvin is a Professional Counselor based in Champaign, IL and is specialized in Professional. Michele A. Melvin practices in Champaign, IL and has the professional credentials of EDS,LCPC. The NPI Number for Michele A. Melvin is 1184755449 and holds a License No. 180003314 (Illinois).

The current practice location address for Michele A. Melvin is 908 Trailway Dr, Champaign, IL and can be reached out via phone at 217-607-1600. You can also correspond with Michele A. Melvin through the mailing address at 908 TRAILWAY DR, CHAMPAIGN, IL - 61822-2080 (mailing address contact number: 217-607-1600).

Location: 908 Trailway Dr, Champaign, IL, 61822-2080
person
Provider Profile Details
NPI Number
1184755449
Provider Name
Michele A. Melvin
Credential
EDS,LCPC
Provider Entity Type
Individual
Gender
Female
Address
908 Trailway Dr, Champaign, IL, 61822-2080
Phone Number
217-607-1600
Fax Number
Provider Enumeration Date
03/08/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01522514 01 IL BCBS PROVIDER #
180003314 01 IL LCPC #
institution
Provider Business Practice Location Address Details
Address
908 Trailway Dr
City
State
Zip
61822-2080
Phone Number
217-607-1600
Fax Number
person
Provider Business Mailing Address Details
Address
908 Trailway Dr
City
State
Zip
61822-2080
Phone Number
217-607-1600
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180003314 (Illinois)
Definition
Definition to come...
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