Gunderson, Melissa Anne
Gunderson, Melissa Anne is an sole proprietor health care provider with primary practice located at 100 S Spring Ave Ste 160 , Sioux Falls SD 57104-3634. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gunderson, Melissa Anne can be contacted via phone (605) 210-6282.Contact Information
Primary practice address
100 S Spring Ave Ste 160
Sioux Falls SD 57104-3634
Phone: (605) 210-6282
Fax: (605) 309-7963
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 22979 | Minnesota |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6093 | South Dakota |
Profile Details
| NPI number | 1174976484 |
|---|---|
| LBN Legal business name | Gunderson, Melissa Anne |
| Credentials | LCSW, LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 21st, 2016 |
| Last updated | Sep 7th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174976484 | NPPES |
| Minnesota | Other | 22979 | CLINICAL LICENSE |
| Minnesota | Other | 6093 | CLINICAL LICENSE |
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