Individual provider · Type 1 NPI

Alisa Renae Melot, SUDRC

Addiction (Substance Use Disorder) Counselor · Stockton, CA

NPI number 1225829203 Active

Practice location

1111 N El Dorado St
Stockton, CA 95202-1305

Call (209) 451-5272 Map

Fax (209) 938-0281

Mailing address

4205 Rose Parade
Modesto, CA 95357-0842

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X21438 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1225829203

Alisa Renae Melot, SUDRC's National Provider Identifier is 1225829203, issued on May 16, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Stockton, CA. The record was last updated on May 16, 2025.