Individual
MELISSA ROBIN WENDEBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
214 E TACOMA ST, SIERRA VISTA, AZ 85635-1520
(520) 515-4444
Mailing address
214 E TACOMA ST, SIERRA VISTA, AZ 85635-1520
(520) 515-4444
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC-7819T
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5728235
STANDARD SCHOOL COUNSELOR, PREK-12
AZ
Enumeration date
03/22/2023
Last updated
03/23/2023
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