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General NPI Number Information
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NPI Number | 1215675764
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Entity Type | Organization
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Legal Business Name | MELTON CONSULTING AND COUNSELING
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Dates
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Enumeration Date | 05/24/2022
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Last Update Date | 05/24/2022
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Provider Practice Location Address
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Address Line | 2208 RHONDA DR
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City | WEST PLAINS
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State | MO
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Zip | 65775-1616
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Country | US
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Telephone | 417-505-0638
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 484
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City | WEST PLAINS
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State | MO
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Zip | 65775-0484
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Country | US
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Telephone | 417-505-0638
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CYNTHIA D MELTON
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Credential | LCSW
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Telephone | 417-505-0638
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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