Individual
ERICA MELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6926 NE FOURTH PLAIN BLVD, VANCOUVER, WA 98661-7369
(360) 993-3019
(360) 737-2798
Mailing address
PO BOX 1337, VANCOUVER, WA 98666-1337
(360) 993-3019
(360) 737-2798
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG60604982
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60604982
COUNSELOR
WA
Enumeration date
10/15/2015
Last updated
10/15/2015
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