Provider Demographics
NPI:1477391431
Name:MELNIK, ALEXANDRA (LMHCA)
Entity type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:
Last Name:MELNIK
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:SASHA
Other - Middle Name:
Other - Last Name:MELNIK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMHCA
Mailing Address - Street 1:10614 BEARDSLEE BLVD STE D
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98011-3279
Mailing Address - Country:US
Mailing Address - Phone:651-808-7665
Mailing Address - Fax:
Practice Address - Street 1:10614 BEARDSLEE BLVD STE D
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98011-3279
Practice Address - Country:US
Practice Address - Phone:651-808-7665
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-16
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC.61540830101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health