ALISA RENAE MELOT

STOCKTON, CA
NPI1225829203
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  21438)
Enumeration Date2025-05-16
Last Update Date2025-05-16
Business Address
ALISA RENAE MELOT SUDRC
1111 N EL DORADO ST
STOCKTON, CA 95202-1305
Phone number: 209-451-5272
Mailing Address
ALISA RENAE MELOT SUDRC
4205 ROSE PARADE
MODESTO, CA 95357-0842
Phone number: 408-590-1195