NPI | 1699368456 |
---|---|
Former Name | MELISSA ALVAREZ ANDERSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MT BBH-LCPC-LIC-57127) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT BBH-LAC-LIC-49962) |
101YP2500X Counselor, Professional (Licence: MT BBH-LCPC-LIC-57127) | |
Enumeration Date | 2021-02-12 |
Last Update Date | 2025-07-02 |