Individual
MELANIE MOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
140 S HOLLY STREET, MEDFORD, OR 97501-3113
(541) 774-8201
(541) 774-7979
Mailing address
140 S HOLLY STREET, MEDFORD, OR 97501-3113
(541) 774-8201
(541) 774-7979
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
CC1137
ME
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/12/2010
Last updated
05/24/2016
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