| Doctor Name: | MRS. MELINDA RIGGER MOGOWSKI |
| NPI Number: | 1568667616 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., L.P.C.,L.C.S.W |
| License Number: | 2285 |
| Business Practice Address: | 113 E Sothel St Sothel Light Offices, Suite 6 Kill Devil Hills, NC - 279486961 |
| Business Phone Number: | 2524413536 |
| Business Fax Number: | 2524413536 |
| Mailing Address: | Po Box 3707, KILL DEVIL HILLS |
| State: | NC |
| Postal Code: | 279483707 |
| Phone Number: | 2524413536 |
| Fax Number: | 2524413536 |
| NPI Enumeration Date: | 06/19/2007 |
| NPI Last Update Date: | 06/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 2285 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |