Individual provider · Type 1 NPI

Johanna Ivette Melgoza, CRC, LPC

Mental Health Counselor · Chicago, IL

NPI number 1629736046 Active

Practice location

17 N Wabash Ave Ste 515
Chicago, IL 60602-4818

Mailing address

3711 N Oakley Ave Unit 2
Chicago, IL 60618-4812

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1629736046

Johanna Ivette Melgoza, CRC, LPC's National Provider Identifier is 1629736046, issued on Dec 2, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chicago, IL. The record was last updated on Dec 2, 2021.