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MELISSA SKREPAK TLMHC, IADC
Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1548623739
Individual Registrant: MELISSA SKREPAK TLMHC, IADC
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
7 OKOBOJI GROVE RD ARNOLDS PARK, IA 51331 US
Tel: 712-339-2422 Fax: --
Tel: 712-339-2422 Fax: --
Contact information for business:
PO BOX 638 ARNOLDS PARK, IA 51331-0638 US
Tel: 712-339-2422 Fax: --
Tel: 712-339-2422 Fax: --
Registration Information:
NPI: 1548623739
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 101YA0400X | Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder) | ||
| Y | 101YM0800X | Behavioral Health & Social Service Providers Counselor | IA | 101619 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
