Individual
BOYDEN DEAN MELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCAS
Contact information
Practice address
417 N MAIN ST, CORPORATE SQUARE, SALISBURY, NC 28144-4376
(336) 416-0892
Mailing address
417 N MAIN ST, CORPORATE SQUARE, SALISBURY, NC 28144-4376
(336) 416-0892
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
166
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6111821
—
NC
01
—
B2306
MEDCOST
NC
Enumeration date
12/02/2005
Last updated
08/05/2009
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