CHARLES ALVIN MELICK

IDAHO FALLS, ID
NPI1215344726
Other NameCAM MELICK
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: ID  LCSW-37691)
Enumeration Date2014-07-16
Last Update Date2019-04-03
Business Address
Mr. CHARLES ALVIN MELICK LCSW - 37691
2275 W BROADWAY ST STE. G
IDAHO FALLS, ID 83402-2902
Phone number: 208-524-7400
Mailing Address
Mr. CHARLES ALVIN MELICK LCSW - 37691
1885 GALLUP ST
IDAHO FALLS, ID 83404-5606
Phone number: 801-669-4600