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 |