# DEBRA MELMON

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710374665
- **Authorized official:** DEBRA MELMON LMFT (MARRIAGE AND FAMILY THERAPIST)
- **Authorized official phone:** (650) 465-2903

## Contact information

- **Practice address:** 1059 EL MONTE AVE STE B, MOUNTAIN VIEW, CA 94040-4601
- **Practice address phone:** (650) 465-2903
- **Mailing address:** 1059 EL MONTE AVE STE B, MOUNTAIN VIEW, CA 94040-4601
- **Mailing address phone:** (650) 465-2903

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | 50592 | CA | — |
| 283Q00000X | Psychiatric Hospital | 50592 | CA | — |
| 302R00000X | Health Maintenance Organization | 50592 | CA | Yes |
| 385HR2055X | Child Mental Illness Respite Care | 50592 | CA | — |

## Other

- **Enumeration date:** 04/17/2015
- **Last updated:** 04/17/2015