Provider Demographics
NPI:1124479886
Name:WILKINS MELANSON, MEGHAN MARGARET (LMHCA)
Entity type:Individual
Prefix:MRS
First Name:MEGHAN
Middle Name:MARGARET
Last Name:WILKINS MELANSON
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27915 NE 152ND ST
Mailing Address - Street 2:
Mailing Address - City:DUVALL
Mailing Address - State:WA
Mailing Address - Zip Code:98019-8196
Mailing Address - Country:US
Mailing Address - Phone:425-785-5599
Mailing Address - Fax:
Practice Address - Street 1:27915 NE 152ND ST
Practice Address - Street 2:
Practice Address - City:DUVALL
Practice Address - State:WA
Practice Address - Zip Code:98019-8196
Practice Address - Country:US
Practice Address - Phone:425-785-5599
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-23
Last Update Date:2016-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60277082101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health