Individual
MELISSA SPANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 N LAKES PL, MERIDIAN, ID 83646-5939
(208) 890-7165
Mailing address
634 PERSHING AVE, POCATELLO, ID 83201-3761
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/19/2022
Last updated
08/19/2022
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