Individual
MARK MELTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10821 FAIR OAKS BLVD, FAIR OAKS, CA 95628-7214
(916) 516-1560
Mailing address
PO BOX 4526, AUBURN, CA 95604-4526
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
16750
CA
Other
Enumeration date
07/22/2021
Last updated
09/09/2024
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