Melissa A Dessert, LCPC/CADC Valid NPI
Individual provider · Addiction (Substance Use Disorder) Counselor · Peoria, IL
- NPI
- 1841512274
- Type
- Individual (Type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YA0400X
- License number
- 180.005609 (IL)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2010-02-26
- Last updated
- 2010-02-26
Practice location
3400 W New Leaf Ln
Peoria, IL 61615-3311
(309) 692-6900