Individual
MELISSA ANN HOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA-I
Contact information
Practice address
2625 HIGHWAY 101, FLORENCE, OR 97439-9702
(541) 997-3212
Mailing address
2625 HIGHWAY 101, FLORENCE, OR 97439-9702
(541) 997-3212
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
23-QMHA-I-003712
OR
171M00000X
Case Manager/Care Coordinator
23-QMHA-I-003712
OR
172V00000X
Community Health Worker
Primary
THW000105866
OR
175T00000X
Peer Specialist
105866
OR
Other
Enumeration date
06/27/2024
Last updated
07/18/2024
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