| Doctor Name: | MELISSA FAYE DURDEN |
| NPI Number: | 1013382613 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 3692C |
| Business Practice Address: | 2668 Hualapai Mountain Rd Kingman, AZ - 864018387 |
| Business Phone Number: | 9287187363 |
| Business Fax Number: | 9286925449 |
| Mailing Address: | 2831 Simms Ave, KINGMAN |
| State: | AZ |
| Postal Code: | 864015242 |
| Phone Number: | 2513630231 |
| Fax Number: | |
| NPI Enumeration Date: | 12/08/2015 |
| NPI Last Update Date: | 12/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 3692C |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |