Sundberg, Melissa
Sundberg, Melissa is an sole proprietor health care provider with primary practice located at 3 Saint Elizabeth Blvd Ste 4000 , O Fallon IL 62269-1284. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Sundberg, Melissa can be contacted via phone (618) 233-5480.Contact Information
Primary practice address
3 Saint Elizabeth Blvd Ste 4000
O Fallon IL 62269-1284
Phone: (618) 233-5480
Fax: (618) 222-4792
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 44018 | Montana |
Profile Details
| NPI number | 1992316608 |
|---|---|
| LBN Legal business name | Sundberg, Melissa |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 14th, 2020 |
| Last updated | Jul 25th, 2024 - about 2 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.
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