Doctor Name: | MRS. MELISSA ANNE LADD |
NPI Number: | 1013957794 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 19103 |
Business Practice Address: | 4545 Thomas Dr Paris, TX - 754625131 |
Business Phone Number: | 9035173928 |
Business Fax Number: | |
Mailing Address: | 4545 Thomas Drive, PARIS |
State: | TX |
Postal Code: | 75462 |
Phone Number: | 9035173928 |
Fax Number: | 9037857721 |
NPI Enumeration Date: | 06/08/2006 |
NPI Last Update Date: | 10/04/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 19103 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |