Individual
DAVID PAUL MELICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
1526 REPUBLIC ST, CINCINNATI, OH 45202-7016
(513) 241-2965
(513) 241-0368
Mailing address
1526 REPUBLIC ST, CINCINNATI, OH 45202-7016
(513) 241-2965
(513) 241-0368
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
170283
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
170283
—
OH
Enumeration date
05/08/2019
Last updated
05/08/2019
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