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Miss Melissa Dane, MA
Counselor in Centralia, Illinois
NPI 1215331509

Melissa Dane is a Counselor based in Irvington, IL. Melissa Dane practices in Centralia, IL and has the professional credentials of MA. The NPI Number for Melissa Dane is 1215331509 and holds a License No. (Illinois).

The current practice location address for Melissa Dane is 904 E Martin Luther King Dr., Centralia, IL and can be reached out via phone at 618-533-1391 and via fax at 618-533-1200.

Location: 904 E Martin Luther King Dr., Centralia, IL, 62848-0231
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215331509
Provider Name
Melissa Dane
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
904 E Martin Luther King Dr., Centralia, IL, 62848-0231
Phone Number
618-533-1391
Fax Number
618-533-1200
Provider Enumeration Date
10/15/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
370915481007 05 IL
institution
Provider Business Practice Location Address Details
Address
904 E Martin Luther King Dr.
City
Centralia
State
Illinois
Zip
62801
Phone Number
618-533-1391
Fax Number
618-533-1200
person
Provider Business Mailing Address Details
Address
904 E Martin Luther King Dr.
City
Centralia
State
Illinois
Zip
62801
Phone Number
618-533-1391
Fax Number
618-533-1200
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
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Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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