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Organization

DEBRA MELMON

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBRA MELMON LMFT (MARRIAGE AND FAMILY THERAPIST)
(650) 465-2903
Entity
Organization

Contact information

Practice address
1059 EL MONTE AVE STE B, MOUNTAIN VIEW, CA 94040-4601
(650) 465-2903
Mailing address
1059 EL MONTE AVE STE B, MOUNTAIN VIEW, CA 94040-4601
(650) 465-2903

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
50592
CA
283Q00000X
Psychiatric Hospital
50592
CA
302R00000X
Health Maintenance Organization
Primary
50592
CA
385HR2055X
Child Mental Illness Respite Care
50592
CA

Other

Enumeration date
04/17/2015
Last updated
04/17/2015
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