Doctor Name: | MELISSA MCLEAN |
NPI Number: | 1295918217 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., L.P.C. |
License Number: | 37PC00402100 |
Business Practice Address: | 10 Foster Ave Suite A-1 Gibbsboro, NJ - 080261162 |
Business Phone Number: | 8567826749 |
Business Fax Number: | |
Mailing Address: | 105 Cherrywood, CLEMENTON |
State: | NJ |
Postal Code: | 080215703 |
Phone Number: | 8566778535 |
Fax Number: | |
NPI Enumeration Date: | 12/12/2007 |
NPI Last Update Date: | 07/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 37PC00402100 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |