Individual provider · Type 1 NPI
Melisha Ivery
Professional Counselor · Macon, GA
NPI number
1407528003
Active
Practice location
3780 Northside Dr Ste 140
Macon, GA 31210-2436
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 012020 (GA) |
Professional Counselor: Definition to come...
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About NPI 1407528003
Melisha Ivery's National Provider Identifier is 1407528003, issued on Oct 1, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Macon, GA. The record was last updated on Jan 21, 2025.