| Doctor Name: | MICHAEL GERARD MELE |
| NPI Number: | 1396908182 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LICSW CST |
| License Number: | LW00008898 |
| Business Practice Address: | 138 North Beach Rd Eastsound, WA - 98245 |
| Business Phone Number: | 3603767160 |
| Business Fax Number: | |
| Mailing Address: | Po Box 578, EASTSOUND |
| State: | WA |
| Postal Code: | 982450578 |
| Phone Number: | 3603767160 |
| Fax Number: | 3603767161 |
| NPI Enumeration Date: | 07/02/2008 |
| NPI Last Update Date: | 07/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LW00008898 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |