SearchNew Jersey101YM0800X

Melissa South, LPC, NCC, ACS

NPI 1477195998 · on the registry since 2019

Practice

Address
76 S Orange Ave Ste 209
South Orange, NJ 07079
Phone
(201) 740-7128
Fax
(973) 378-9575
Organisation at this address
Jespy House
Jespy House
Jespy House
Jespy House
Kka Ventures Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-10-16

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey