Good, Melissa

Good, Melissa is an individual health care provider with primary practice located at 4254 Jackson Hwy , Chehalis WA 98532-8424. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Good, Melissa can be contacted via phone (360) 996-6603.

Contact Information

Primary practice address
4254 Jackson Hwy Chehalis WA 98532-8424
Phone: (360) 996-6603
Fax: (360) 330-7865
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LH61528528 Washington
Behavioral Health & Social Service Providers / Counselor 101Y00000X Washington

Profile Details

NPI number 1215469309
LBN Legal business name Good, Melissa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2017
Last updated May 20th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215469309 NPPES
Washington MEDICAID 2111369

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