| NPI | 1760784896 |
|---|---|
| Other Name | LARRY T MELENDEZ |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CCHM0194151) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 0096361) |
| Enumeration Date | 2010-11-22 |
| Last Update Date | 2018-03-17 |