Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | CAPSY#22622 | CA |
N | 103TH0004X | Health Psychologist | CAPSY#22622 | CA |
N | 103TP2701X | Group Psychotherapist | CAPSY#22622 | CA |
NPI | 1265756803 |
---|---|
Provider Name | Dr. Melissa Jones Cantekin |
First Address | Santa Barbara, CA 93101-6752 |
Second Address | Santa Barbara, CA 93101-6752 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2010 |
Last Update Date | 25/03/2010 |