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Organization
MELINDA IKETAU
Active
Organization
MELINDA IKETAU
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELINDA IKETAU LMHC (LMHC, PLAY THERAPIST)
(315) 922-3100
Entity
Organization
Contact information
Practice address
230 FRANKLIN ST, WATERTOWN, NY 13601-3996
(315) 922-3100
Mailing address
230 FRANKLIN ST, WATERTOWN, NY 13601-3996
(315) 922-3100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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