Individual
MELODY LYNN STARKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
308 EAST YOUNG, ELMA, WA 98541-0477
(360) 482-2674
(360) 482-1413
Mailing address
PO BOX 477, ELMA, WA 98541-0477
(360) 482-2674
(360) 482-1413
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60098095
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1981026
—
WA
Enumeration date
02/10/2010
Last updated
02/10/2010
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