| NPI | 1164916912 |
|---|---|
| Professional Name | ISAAC ALEXANDRA MELTON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2018-06-15 |