| NPI | 1366866311 |
|---|---|
| Professional Name | MELINDA D FREDERICKS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA Ci06930217) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: CA Ci06930217) |
| Enumeration Date | 2014-02-11 |
| Last Update Date | 2024-05-07 |