MELISSA WEATHERWAX

Counselor - Addiction (Substance Use Disorder)

Active Individual
NPI: 1366621740

Practice Address

1109 JONES ST
Kennett, MO 63857

Phone: (573) 888-6545

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X Yes -

Frequently Asked Questions

NPI 1366621740 is the National Provider Identifier for MELISSA WEATHERWAX, a Counselor - Addiction (Substance Use Disorder) provider located in Kennett, MO. This NPI was enumerated on November 1, 2007.
MELISSA WEATHERWAX practices at 1109 JONES ST, Kennett, MO 63857.

Quick Facts

NPI
1366621740
Type
Individual
Enumerated
Nov 1, 2007
Last Updated
Nov 1, 2007

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