Individual
MELISSA J GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31772 CASINO DR STE B, LAKE ELSINORE, CA 92530-4502
(951) 674-9400
Mailing address
3002 ARMSTRONG ST, SAN DIEGO, CA 92111-5702
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
175T00000X
Peer Specialist
Primary
MPSS-LXJSHM
CA
225400000X
Rehabilitation Practitioner
—
—
Other
Enumeration date
08/26/2019
Last updated
06/09/2026
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