Mr. Charles Alvin Melick III, LCSW - 37691 - Idaho Falls, ID

Mr. Charles Alvin Melick III, LCSW-37691

Counselor in Idaho Falls, Idaho

NPI 1215344726

Charles Alvin Melick III is a Counselor based in Idaho Falls, ID. Charles Alvin Melick III practices in Idaho Falls, ID and has the professional credentials of LCSW-37691. The NPI Number for Charles Alvin Melick III is 1215344726 and holds a License No. LCSW-37691 (Idaho).

The current practice location address for Charles Alvin Melick III is 2275 W Broadway St, Idaho Falls, ID and can be reached out via phone at 208-524-7400 and via fax at 208-524-8004.

Location: 2275 W Broadway St, Idaho Falls, ID, 83404-5606

NPI Number

1215344726

Provider Name

Charles Alvin Melick III

Credential

LCSW-37691

Provider Entity Type

Individual

Gender

Male

Address

2275 W Broadway St, Idaho Falls, ID, 83404-5606

Phone Number

208-524-7400

Fax Number

208-524-8004

Provider Enumeration Date

07/16/2014

Last Update Date

03/09/2024

Address

2275 W Broadway St

City

Idaho Falls

State

Idaho

Zip

83402-2902

Phone Number

208-524-7400

Fax Number

208-524-8004

Address

2275 W Broadway St

City

Idaho Falls

State

Idaho

Zip

83402-2902

Phone Number

208-524-7400

Fax Number

208-524-8004

Type

Behavioral Health & Social Service Providers

Classification

Counselor

Speciality

Taxonomy

101Y00000X

License No.

LCSW-37691 (Idaho)

Definition

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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