Individual
CHARAN JAI MELLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
61690 PETTIGREW RD, BEND, OR 97702-2422
(541) 617-0377
Mailing address
61078 SYDNEY HARBOR DR, BEND, OR 97702-3723
(541) 668-7611
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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