| Melissa Dionne Llc | |
|
121 Annapolis Ln Ponte Vedra Beach FL 32082-1512 | |
| (904) 687-8377 | |
| Not Available |
| Full Name | Melissa Dionne Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 121 Annapolis Ln, Ponte Vedra Beach, Florida |
| Authorized Official Name and Position | Melissa Putterman (OWNER) |
| Authorized Official Contact | 8377904687 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa Dionne Llc 121 Annapolis Ln Ponte Vedra Beach FL 32082-1512 Ph: () - | Melissa Dionne Llc 121 Annapolis Ln Ponte Vedra Beach FL 32082-1512 Ph: (904) 687-8377 |
| NPI Number | 1982378485 |
|---|---|
| Provider Enumeration Date | 08/06/2021 |
| Last Update Date | 08/06/2021 |
| Certification Date | 08/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982378485 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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