Doctor Name: | MRS. MELANIE ANNE CONNELL |
NPI Number: | 1235404930 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LPC |
License Number: | LPC-1259 |
Business Practice Address: | 2955 E. 2nd St. Casper, WY - 82609 |
Business Phone Number: | 3074724673 |
Business Fax Number: | 3074723727 |
Mailing Address: | 2955 E. 2nd St., CASPER |
State: | WY |
Postal Code: | 82609 |
Phone Number: | 3074724673 |
Fax Number: | 3074723727 |
NPI Enumeration Date: | 03/13/2012 |
NPI Last Update Date: | 03/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LPC-1259 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy 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 |