Individual
MICHELLE MELENDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, MFT, LADC
Contact information
Practice address
1490 GRIMES ST, FALLON, NV 89406-3103
(775) 423-1412
(775) 423-4054
Mailing address
1490 GRIMES ST, FALLON, NV 89406-3103
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
01232-L
NV
106H00000X
Marriage & Family Therapist
Primary
01071
NV
Other
Enumeration date
12/14/2010
Last updated
12/14/2010
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