Individual
MRS. ANGELA MARIE MELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW, SUDP
Contact information
Practice address
104 S FREYA ST STE 210, SPOKANE, WA 99202-4871
(509) 964-1590
Mailing address
104 S FREYA ST BLDG SUITE210, SPOKANE, WA 99202-4862
(509) 869-9457
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP00006373
WA
1041C0700X
Clinical Social Worker
Primary
LW60260475
WA
Other
Enumeration date
01/25/2011
Last updated
08/03/2020
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