| Doctor Name: | MRS. KRISTIN LESLIE MELTON |
| NPI Number: | 1891918157 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S. |
| License Number: | |
| Business Practice Address: | 1340 County Road 950 E Carmi, IL - 628215024 |
| Business Phone Number: | 6183823907 |
| Business Fax Number: | |
| Mailing Address: | 86 County Road 300 N, NORRIS CITY |
| State: | IL |
| Postal Code: | 628693831 |
| Phone Number: | 6183782160 |
| Fax Number: | |
| NPI Enumeration Date: | 04/11/2007 |
| NPI Last Update Date: | 09/12/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |