| NPI | 1518442474 |
|---|---|
| Other Name | MELISSA LEEANN STOTTS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA 60683944) |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2018-09-26 |