Individual provider · Type 1 NPI

Amy Elizabeth Mellum, LICSW

Mental Health Counselor · St. Paul, MN

NPI number 1285817528 Active

Practice location

311 Ramsey St., Suite 205
St. Paul, MN 55102

Call (651) 262-9726 Map

Fax (651) 294-2347

Mailing address

1137 Seminary Ave.
St. Paul, MN 55104

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X17145 (MN)

Mental Health Counselor: Definition to come...

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About NPI 1285817528

Amy Elizabeth Mellum, LICSW's National Provider Identifier is 1285817528, issued on Dec 10, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Paul, MN. The record was last updated on Mar 28, 2012.