Healthcare Provider Details

I. General information

NPI: 1154283620
Provider Name (Legal Business Name): CHLOE MELKA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

316 1ST ST
PACIFIC GROVE CA
93950-3606
US

IV. Provider business mailing address

316 1ST ST
PACIFIC GROVE CA
93950-3606
US

V. Phone/Fax

Practice location:
  • Phone: 707-260-5080
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPCC20618
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: