Individual
MRS. YANISHA IRIS MELENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
140 HIGH ST, SPRINGFIELD, MA 01105-1442
(413) 495-1500
Mailing address
192 LUCERNE RD, SPRINGFIELD, MA 01119-1837
(413) 219-4754
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/10/2017
Last updated
05/01/2018
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