Individual provider · Type 1 NPI

Melissa Petkovic

Mental Health Counselor · Melrose Park, IL

NPI number 1356740989 Active

Practice location

1414 Main St
Melrose Park, IL 60160-3902

Mailing address

2550 Maple St, None
River Grove, IL 60171-1604

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1356740989

Melissa Petkovic's National Provider Identifier is 1356740989, issued on Aug 20, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Melrose Park, IL. The record was last updated on Aug 20, 2014.