Doctor Name: | MRS. JANICE MARIE MELTON |
NPI Number: | 1083739338 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | LCS15566 |
Business Practice Address: | 14277 Road 28 Madera, CA - 936385715 |
Business Phone Number: | 5596757926 |
Business Fax Number: | 5596754449 |
Mailing Address: | 14277 Road 28, MADERA |
State: | CA |
Postal Code: | 936385715 |
Phone Number: | 5596757926 |
Fax Number: | 5596754449 |
NPI Enumeration Date: | 03/19/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LCS15566 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |