Individual
CELIC MELENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2157 GROVE ST, SAN FRANCISCO, CA 94117-1008
(415) 387-2275
Mailing address
2157 GROVE ST, SAN FRANCISCO, CA 94117-1008
(415) 387-2275
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/09/2014
Last updated
08/24/2016
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