MEDICARE: MRS. VALETTA MELANIE KIRCHNER LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	99603	CA

General Provider Information

NPI Number	:	1639729817
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. VALETTA MELANIE KIRCHNER LMFT

Provider Business Mailing Address
First Line	:	192 PARK AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90803-3153
Country	:	US
Telephone Number	:	562-222-4887
Fax Number	:	562-317-8141

Provider Business Practice Location Address
First Line	:	192 PARK AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90803-3153
Country	:	US
Telephone Number	:	562-222-4887
Fax Number	:	562-317-8141

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/18/2019
Last Update Date	:	09/25/2025

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Directions to “ MRS. VALETTA MELANIE KIRCHNER LMFT” Practice Location

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