Healthcare Provider Details

I. General information

NPI: 1386360758
Provider Name (Legal Business Name): MELISSA KATHRYN OPIEL MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/17/2022
Last Update Date: 10/17/2022
Certification Date: 10/17/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13500 SE 7TH ST
VANCOUVER WA
98683-6909
US

IV. Provider business mailing address

13500 SE 7TH ST
VANCOUVER WA
98683-6909
US

V. Phone/Fax

Practice location:
  • Phone: 360-699-2244
  • Fax:
Mailing address:
  • Phone: 901-648-9110
  • Fax:

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: