Provider Demographics
NPI:1558105882
Name:NOFTSINGER, MELISSA RENEE (LCPC-C)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:RENEE
Last Name:NOFTSINGER
Suffix:
Gender:F
Credentials:LCPC-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:443 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BIDDEFORD
Mailing Address - State:ME
Mailing Address - Zip Code:04005-2124
Mailing Address - Country:US
Mailing Address - Phone:207-200-4123
Mailing Address - Fax:
Practice Address - Street 1:443 MAIN ST
Practice Address - Street 2:
Practice Address - City:BIDDEFORD
Practice Address - State:ME
Practice Address - Zip Code:04005-2124
Practice Address - Country:US
Practice Address - Phone:207-200-4123
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-21
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEXL7508101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health