Individual
CHRISTINA MELAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPSS
Contact information
Practice address
1818 W SILVER CREEK CT, NAMPA, ID 83686-5295
(208) 697-7179
Mailing address
1818 W SILVER CREEK CT, NAMPA, ID 83686-5295
(208) 697-7179
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
175T00000X
Peer Specialist
—
ID
Other
Enumeration date
03/20/2023
Last updated
05/16/2023
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