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NPI Code Detail

MEDICARE: MS. HELEN EILEEN MELINE

MEDICARE: MS. HELEN EILEEN MELINE
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
1101YM0800XMental Health Counselor
2101YA0400XAddiction (Substance Use Disorder) Counselor10876CA

General Provider Information

NPI Number : 1184829632
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. HELEN EILEEN MELINE
Provider Business Mailing Address
First Line : 5011 OLEAN ST
Second Line :
City : FAIR OAKS
State : CA
Zip : 95628-4085
Country : US
Telephone Number : 831-419-9223
Fax Number :
Provider Business Practice Location Address
First Line : 3990 INDUSTRIAL BLVD
Second Line :
City : WEST SACRAMENTO
State : CA
Zip : 95691-3430
Country : US
Telephone Number : 916-796-0020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2007
Last Update Date : 05/14/2021

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Directions to “ MS. HELEN EILEEN MELINE ” Practice Location

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