Individual
MS. MELINDA L POOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC,CAP
Contact information
Practice address
197 BOUGANVILLEA DR, SUITE A, ROCKLEDGE, FL 32955
(321) 636-6884
(321) 636-6846
Mailing address
197 BOUGANVILLEA DR, SUITE A, ROCKLEDGE, FL 32955
(321) 636-6884
(321) 636-6846
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
MH0008097
FL
Other
Enumeration date
01/11/2007
Last updated
07/08/2007
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