Provider Information for 1740681469
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MELISSA DOTSON LMHC
Sex: Female
NPI: 1740681469
Last Updated: 2019-01-16
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1740681469 | ||||||||||||
| Enumeration Date | 2014-09-12 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | PO BOX 503224 INDIANAPOLIS, IN 46250-8224 United States Phone: 260-827-7596 | Fax: | ||||||||||||
| Primary Practice Address | 2003 W 12TH ST ANDERSON, IN 46016 United States Phone: 260-827-7596 | Fax: | ||||||||||||
| Secondary Practice Address(es) | 931 W WATER ST | ||||||||||||
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