MRS. MELISSA WIEREMA LPC - NPI 1235756206

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101Y00000X.

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About Mrs. Melissa Wierema Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MELISSA WIEREMA LPC (NPI 1235756206) is an individual counselor in Geneva, Illinois, licensed in Michigan (6401016642) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1235756206

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMRS. MELISSA WIEREMACredential: LPC

Location Address321 HAMILTON STGeneva, IL 60134-2148

Mailing Address8145 Hawley RdWilliamsburg, MI 49690-8522 · (630) 388-8780

Phone(630) 686-2282

Sole ProprietorYes

Enumeration DateJune 25, 2020

NPPES CertifiedJune 25, 2020

✔ NPI 1235756206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in MI · 6401016642

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

321 HAMILTON ST, Geneva, IL 60134

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP