Individual
MRS. MELANIE DANIELLE KITCHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. ED., NCC
Contact information
Practice address
2409 HOMER CLAYTON DR., MOUNTAIN LAKES BEHAVORIAL HEALTHCARE, GUNTERSVILLE, AL 35976-2207
(256) 582-3203
(256) 582-3216
Mailing address
2409 HOMER CLAYTON DR., MOUNTAIN LAKES BEHAVORIAL HEALTHCARE, GUNTERSVILLE, AL 35976-2207
(256) 582-3203
(256) 582-3216
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330000025
—
AL
Enumeration date
11/24/2010
Last updated
10/19/2012
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