MEDICARE: MS. MELISSA HOLLY KOTZIN MS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	IMF48953	CA
2	101YM0800X	Mental Health Counselor	LMFT49422	CA

General Provider Information

NPI Number	:	1134291305
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MELISSA HOLLY KOTZIN MS

Provider Business Mailing Address
First Line	:	19322 JESSE LN STE 200
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92508-5072
Country	:	US
Telephone Number	:	909-387-4040
Fax Number	:

Provider Business Practice Location Address
First Line	:	19322 JESSE LN STE 200
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92508-5072
Country	:	US
Telephone Number	:	909-387-4040
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/14/2006
Last Update Date	:	09/07/2022

Similar Medicare Providers

1487509790 — WILLIAM JARED TRAVIS HENRY AMFT
Practice Location Address:

19322 JESSE LN
RIVERSIDE, CA
92508-5072

Practice Phone: 951-387-4040
Practice Fax:

1578775011 — DIANE MARIE WATERS LCSW
Practice Location Address:

19322 JESSE LN
RIVERSIDE, CA
92508-5072

Practice Phone: 951-387-4040
Practice Fax:

1508032582 — DR. ARTHUR BENJAMIN ZINKE LMFT
Practice Location Address:

19322 JESSE LN
RIVERSIDE, CA
92508-5072

Practice Phone: 951-387-4040
Practice Fax:

1407147101 — MRS. CAITLYN ASHLEIGH CALDWELL LCSW
Practice Location Address:

19322 JESSE LN STE 200
RIVERSIDE, CA
92508-5072

Practice Phone: 951-588-5527
Practice Fax:

1295000388 — SHEENA ESCOBEDO HARTON LMFT
Practice Location Address:

19322 JESSE LN
RIVERSIDE, CA
92508-5072

Practice Phone: 805-965-6786
Practice Fax:

1760818207 — MRS. BRITANY ANN AMY ALVA MA, LMFT
Practice Location Address:

19322 JESSE LN STE 200
RIVERSIDE, CA
92508-5072

Practice Phone: 951-387-4780
Practice Fax:

Directions to “ MS. MELISSA HOLLY KOTZIN MS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.