Most Relevant Information
Provider Data
| NPI Number: | 1003586611 |
| Provider Name: | MELISSA CAUTHEN LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/15/2021 |
| Last Updated: | 10/30/2024 |
Provider Practice Location
1016 S EMERALD LN
CARBONDALE
IL
629012434
Practice Location Phone/Fax
| Phone: | 6185596346 |
| Fax: |
Provider Mailing Location
1016 S EMERALD LN
CARBONDALE
IL
629012434
Provider Mailing Phone/Fax
| Phone: | 6185596346 |
| Fax: |