Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. CHARLES ALVIN MELICK III, LCSW - 37691

Active Sole Proprietor

MR. CHARLES ALVIN MELICK III, LCSW - 37691 is a Counselor healthcare provider located in IDAHO FALLS, Idaho. NPI 1215344726 is currently active in the NPPES registry. Verify at CMS.

Counselor · IDAHO FALLS, ID

Registration Details

NPI Number: 1215344726
Provider Type: Individual
Gender: Male
NPI Issued: Jul 16, 2014 (12.063685824675 yrs)
Last Updated: Apr 3, 2019
License: LCSW-37691 (ID)
Sole Proprietor: Yes

Practice Information

Address: 2275 W BROADWAY ST

STE. G

IDAHO FALLS, ID, 834022902
Browse ID providers · Browse ZIP 83402
Phone: 2085247400
Fax: 2085248004
Primary Specialty: Counselor
101Y00000X

Other Counselor Providers in IDAHO FALLS, ID

Name	Credential	NPI
MS. DORTHY C CLAYTON	MSW LCSW	1881680916
MR. RICHARD A TROYER	LCPC	1033158613
MRS. KATIE MARIE ANDERSON	LPC M. COUN	1497807416
MR. JEFFREY BENNION COCKAYNE	LCPC	1881719490
MS. MARIAN F. MORGAN	LCSW EDS	1831212216
MARIE L ELSER	LMSW	1215149257

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.