Healthcare Provider Details

I. General information

NPI: 1700427341
Provider Name (Legal Business Name): MELANIE HEATHER CURRAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/04/2019
Last Update Date: 10/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 CROWN POINT CIR STE 100
GRASS VALLEY CA
95945-9561
US

IV. Provider business mailing address

500 CROWN POINT CIR STE 100
GRASS VALLEY CA
95945-9561
US

V. Phone/Fax

Practice location:
  • Phone: 530-798-2998
  • Fax: 530-273-5479
Mailing address:
  • Phone: 530-798-2998
  • Fax: 530-273-5479

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: