| NPI | 1689272155 |
|---|---|
| Professional Name | CODY W MELLO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-10-15 |
| Last Update Date | 2023-10-19 |