Provider Demographics
NPI:1942680236
Name:DALHOE, MELISSA REILAND (LICSW)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:REILAND
Last Name:DALHOE
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2312 S 6TH ST
Mailing Address - Street 2:SUITE F-275
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55454-1336
Mailing Address - Country:US
Mailing Address - Phone:612-273-8707
Mailing Address - Fax:612-273-8727
Practice Address - Street 1:2312 S 6TH ST
Practice Address - Street 2:SUITE F-275
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55454-1336
Practice Address - Country:US
Practice Address - Phone:612-273-8707
Practice Address - Fax:612-273-8727
Is Sole Proprietor?:No
Enumeration Date:2015-06-02
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN198701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical