Provider Demographics
NPI:1457617185
Name:MELZER, JULIE C (MA, LPCC)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:C
Last Name:MELZER
Suffix:
Gender:F
Credentials:MA, LPCC
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:C
Other - Last Name:BLAUFUSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:11 CIVIC CENTER PLZ STE 205
Mailing Address - Street 2:
Mailing Address - City:MANKATO
Mailing Address - State:MN
Mailing Address - Zip Code:56001-7718
Mailing Address - Country:US
Mailing Address - Phone:507-345-4679
Mailing Address - Fax:507-345-8685
Practice Address - Street 1:11 CIVIC CENTER PLZ STE 205
Practice Address - Street 2:
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001-7718
Practice Address - Country:US
Practice Address - Phone:507-345-4679
Practice Address - Fax:507-345-8685
Is Sole Proprietor?:No
Enumeration Date:2012-04-06
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCC00720101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional