Provider Demographics
NPI:1427302991
Name:HADLOCK, MELINDA JEAN (IMFT)
Entity type:Individual
Prefix:
First Name:MELINDA
Middle Name:JEAN
Last Name:HADLOCK
Suffix:
Gender:F
Credentials:IMFT
Other - Prefix:
Other - First Name:MELINDA
Other - Middle Name:JEAN
Other - Last Name:TORRES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:915 WEST ST
Mailing Address - Street 2:APT 4
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-0361
Mailing Address - Country:US
Mailing Address - Phone:530-510-2153
Mailing Address - Fax:530-510-2153
Practice Address - Street 1:1415 COURT ST
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-1634
Practice Address - Country:US
Practice Address - Phone:530-242-5709
Practice Address - Fax:530-242-5752
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-05
Last Update Date:2013-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health