Melinda Lee Cromer, LPC
Individual provider Active NPI Professional Counselor · Desloge, MO
NPI 1568089795 · NPPES record last updated Jul 4, 2020
Key facts
- NPI
- 1568089795
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 2013030414 (MO)
- Practice address
- 330 N State St
Desloge, MO 63601-3052 - Phone
- (573) 327-9744
- Fax
- (573) 327-9744
- NPI assigned
- Jul 4, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013030414 | MO | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2013030414 | MO | Yes |
Addresses
Primary practice location
330 N State St
Desloge, MO 63601-3052
Mailing address
330 N State St
Desloge, MO 63601-3052
Phone (573) 327-9744
Other providers in Desloge, MO
- Cynthia Frances Castro
- Clay Medical Supplies LLC
- Community Care Pharmacy, LLC
- Community Care Pharmacy, LLC
- Jamie Marie Conway
- Julia Faith Culbertson
- Mary Ann Araneta Cusi
- Daleco, Inc.
- Madison Renee Davis
- Desloge Chiropractic Health Center, LLC
All providers in Desloge, MO · Professional Counselor in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 4, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.