| NPI | 1699368456 |
|---|---|
| Former Name | MELISSA ALVAREZ ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MT BBH-LCPC-LIC-57127) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT BBH-LAC-LIC-49962) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT BBH-ACLC-LIC-44259) | |
| Enumeration Date | 2021-02-12 |
| Last Update Date | 2022-09-14 |