Individual
MELODY BYNUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
2100 ORY DR, BRUSLY, LA 70719-2459
(720) 476-8898
Mailing address
4610 VIOLA FARMS DR, ADDIS, LA 70710-3104
(225) 663-9083
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/22/2008
Last updated
01/12/2023
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