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Individual

MELODY CAULEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
27670 N TIMBER RIDGE RD, RATHDRUM, ID 83858-6658
(503) 707-2613
Mailing address
27670 N TIMBER RIDGE RD, RATHDRUM, ID 83858-6658
(503) 707-2613

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7071194
ID
106S00000X
Behavior Technician
Primary
ID
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
05/08/2014
Last updated
01/31/2026
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