Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor |
NPI | 1013283027 |
---|---|
Provider Name | Dr. Melinie Lynn Cappello |
First Address | Zeeland, MI 49464-1914 |
Second Address | Zeeland, MI 49464-1914 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2012 |
Last Update Date | 24/03/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
144244 | ULM (01) | WA |