Individual
DAVID MELVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCMHC
Contact information
Practice address
345 E 4500 S STE 260, SALT LAKE CITY, UT 84107-3954
(801) 747-3556
Mailing address
2073 E LUNA CIR, SALT LAKE CITY, UT 84121-3106
(801) 916-3245
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5639406-6004
UT
Other
Enumeration date
08/20/2013
Last updated
08/20/2013
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