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Melanie Waller, LGSW
Mental Health Counselor in Bloomington, Minnesota
NPI 1962098236

Melanie Waller is a Mental Health Counselor based in New Brighton, MN and is specialized in Mental Health. Melanie Waller practices in Bloomington, MN and has the professional credentials of LGSW. The NPI Number for Melanie Waller is 1962098236 and holds a License No. (Minnesota).

The current practice location address for Melanie Waller is 1101 E 78Th St Ste 100, Bloomington, MN and can be reached out via phone at 952-854-5024.

Location: 1101 E 78Th St Ste 100, Bloomington, MN, 55112-1789
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962098236
Provider Name
Melanie Waller
Credential
LGSW
Provider Entity Type
Individual
Gender
Female
Address
1101 E 78Th St Ste 100, Bloomington, MN, 55112-1789
Phone Number
952-854-5024
Fax Number
Provider Enumeration Date
12/21/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1101 E 78Th St Ste 100
City
Bloomington
State
Minnesota
Zip
55420-1402
Phone Number
952-854-5024
Fax Number
person
Provider Business Mailing Address Details
Address
1101 E 78Th St Ste 100
City
Bloomington
State
Minnesota
Zip
55420-1402
Phone Number
952-854-5024
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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