Provider Demographics
NPI:1558660357
Name:HURAY, MELISSA JUNE (LADC)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:JUNE
Last Name:HURAY
Suffix:
Gender:F
Credentials:LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:326 NORTH CENTRAL AVENUE
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55807
Mailing Address - Country:US
Mailing Address - Phone:218-341-3063
Mailing Address - Fax:
Practice Address - Street 1:326 NORTH CENTRAL AVENUE
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55807
Practice Address - Country:US
Practice Address - Phone:218-341-3063
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-18
Last Update Date:2011-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN302244101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)