Individual
MELAH JAYANTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
11740 SW 68TH PKWY STE 200, TIGARD, OR 97223-9058
(425) 640-7009
Mailing address
2355 STATE ST STE 101, SALEM, OR 97301-4541
(458) 210-6739
(541) 246-8826
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
A14034
OR
Other
Enumeration date
07/06/2021
Last updated
03/20/2024
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