Revoltar, Melanie Suzanne

Revoltar, Melanie Suzanne is an individual health care provider with primary practice located at 2600 Cordova St Ste 101 , Anchorage AK 99503-2745. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Revoltar, Melanie Suzanne can be contacted via phone (907) 279-9640.

Contact Information

Primary practice address
2600 Cordova St Ste 101 Anchorage AK 99503-2745
Phone: (907) 279-9640
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1780319467
LBN Legal business name Revoltar, Melanie Suzanne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2022
Last updated Jul 19th, 2022 - about 4 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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