Individual provider · Type 1 NPI

Melanie Ror-Ree Gensaw, LCSW

Addiction (Substance Use Disorder) Counselor · Fortuna, CA

NPI number 1700462900 Active

Practice location

934 S Fortuna Blvd Ste B
Fortuna, CA 95540-3009

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X92891 (CA)

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

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About NPI 1700462900

Melanie Ror-Ree Gensaw, LCSW's National Provider Identifier is 1700462900, issued on Mar 19, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fortuna, CA. The record was last updated on Mar 19, 2021.