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Individual

HEATHER MELTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3551 PARK PLAZA RD, PADUCAH, KY 42001-5948
(270) 854-1482
(615) 815-1946
Mailing address
1321 MURFREESBORO PIKE STE 410, NASHVILLE, TN 37217-2665
(615) 247-5487

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103K00000X
Behavior Analyst
Primary
1-14-9537
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110026265E
MA
Enumeration date
05/14/2014
Last updated
06/20/2023
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