Provider Information for 1275901860
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Mrs. MELISSA HARRELL M.Ed., LPC
Sex: Female
NPI: 1275901860
Last Updated: 2015-09-13
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1275901860 | ||||||||
| Enumeration Date | 2015-09-13 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 700 FM 970 FLORENCE, TX 76527-4315 United States Phone: | Fax: | ||||||||
| Primary Practice Address | 1407 S FORT HOOD ST KILLEEN, TX 76542-1303 United States Phone: 254-289-2114 | Fax: | ||||||||
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