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Individual

MELISSA DAWN GAITHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APPC

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
16549
CA
101YP2500X
Professional Counselor
Primary
16549
CA
171M00000X
Case Manager/Care Coordinator

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
171M
CA
Enumeration date
09/18/2017
Last updated
09/16/2024
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