| Doctor Name: | MELISSA ANN NANDINO |
| NPI Number: | 1720391733 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPCC |
| License Number: | 0118471 |
| Business Practice Address: | 1801 Route 66, Moriarty, NM - 87035 |
| Business Phone Number: | 5057050756 |
| Business Fax Number: | |
| Mailing Address: | Po Box 1007, ESTANCIA |
| State: | NM |
| Postal Code: | 870161007 |
| Phone Number: | 5057050756 |
| Fax Number: | |
| NPI Enumeration Date: | 07/19/2010 |
| NPI Last Update Date: | 07/20/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 0118471 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NM |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |