Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor |
NPI | 1003237876 |
---|---|
Provider Name | Melissa Bluford |
First Address | Cherry Hill, NJ 08002-2048 |
Second Address | Cherry Hill, NJ 08002-2048 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/12/2013 |
Last Update Date | 21/12/2013 |