Chancellor, Melissa

Chancellor, Melissa is an sole proprietor health care provider with primary practice located at 459 E 1St St , Fond Du Lac WI 54935-4505. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Chancellor, Melissa can be contacted via phone (920) 929-3568.

Contact Information

Primary practice address
459 E 1St St Fond Du Lac WI 54935-4505
Fax: (920) 929-3129
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 15413-132 Wisconsin

Profile Details

NPI number 1083984637
LBN Legal business name Chancellor, Melissa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2012
Last updated Jan 12th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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