Provider Demographics
NPI:1063951226
Name:REUSS, MELANIE (MS, LPCC, LMFT, NCC)
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:
Last Name:REUSS
Suffix:
Gender:F
Credentials:MS, LPCC, LMFT, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14525 HIGHWAY 7 STE 225
Mailing Address - Street 2:
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55345-3734
Mailing Address - Country:US
Mailing Address - Phone:763-577-2489
Mailing Address - Fax:952-443-4604
Practice Address - Street 1:14525 HIGHWAY 7 STE 225
Practice Address - Street 2:
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55345-3734
Practice Address - Country:US
Practice Address - Phone:763-577-2489
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-20
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN01945390200000X
MN3641106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program