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Individual

CHEYENNE RAE MELTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CM61106957

Contact information

Practice address
613 SUPERIOR LN, YAKIMA, WA 98902-1623
(509) 575-4810
Mailing address
613 SUPERIOR LN, YAKIMA, WA 98902-1623

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
2470A2800X
Assistant Health Information Record Technician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
91-0755984
WA
Enumeration date
06/07/2021
Last updated
06/07/2021
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