Individual provider · Type 1 NPI

Charles Alvin Melick Iii, LCSW - 37691

Counselor · Idaho Falls, ID

NPI number 1215344726 Active

Practice location

2275 W Broadway St, Ste. G
Idaho Falls, ID 83402-2902

Call (208) 524-7400 Map

Fax (208) 524-8004

Mailing address

1885 Gallup St
Idaho Falls, ID 83404-5606

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XLCSW-37691 (ID)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1215344726

Charles Alvin Melick Iii, LCSW - 37691's National Provider Identifier is 1215344726, issued on Jul 16, 2014. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Idaho Falls, ID. The record was last updated on Apr 3, 2019.