Individual
MRS. MELISSA MICHELLE TELLEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
300 E FIRST STREET, MENTAL HEALTH RESOURCES INC, PORTALES, NM 88130
(505) 359-1221
(505) 359-1075
Mailing address
2001 WEST BEECH, PORTALES, NM 88130
(505) 356-5809
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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