Healthcare Provider Details

I. General information

NPI: 1326994765
Provider Name (Legal Business Name): MELISSA STEPANIAN APCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/09/2026
Last Update Date: 03/09/2026
Certification Date: 03/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 3074
GRANADA HILLS CA
91394-0074
US

IV. Provider business mailing address

PO BOX 3074
GRANADA HILLS CA
91394-0074
US

V. Phone/Fax

Practice location:
  • Phone: 747-275-2750
  • Fax:
Mailing address:
  • Phone: 747-275-2750
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberAPCC20605
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: