Individual
MELISSA A MEHAFFEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3830 S CUSHMAN ST, FAIRBANKS, AK 99701-7530
(907) 455-5304
(907) 455-1460
Mailing address
1201 KELLUM ST, APT 406, FAIRBANKS, AK 99701-4179
(907) 987-4095
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MH0157
—
AK
Enumeration date
04/26/2011
Last updated
02/17/2012
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