Individual
MRS. VIVIAN NELSON MELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MC, LAC
Contact information
Practice address
1250 W WASHINGTON ST STE 215, TEMPE, AZ 85288-1697
(602) 842-7042
Mailing address
4648 E PALM LN, PHOENIX, AZ 85008-4144
(623) 451-4800
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LAC-22821
AZ
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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