MELISSA SHIVELY

SANTA ANA, CA
NPI1790329191
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  A05157119)
Enumeration Date2019-10-30
Last Update Date2022-01-14
Business Address
MELISSA SHIVELY CADCII
2101 E 1ST ST
SANTA ANA, CA 92705-4007
Phone number: 714-542-3581
Mailing Address
MELISSA SHIVELY CADCII
11186 LAVENDER AVE
FOUNTAIN VALLEY, CA 92708-2426
Phone number: 714-655-5103
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