Melysa S Allen

Individual provider Active NPI Mental Health Counselor · Monroe, WA

NPI 1023608015 · NPPES record last updated Feb 2, 2021

Key facts

NPI
1023608015
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
CG61143091 (WA)
Practice address
500 E Fremont St Apt E211
Monroe, WA 98272-2386
Phone
(360) 348-2523
NPI assigned
Jan 22, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
CG61143091WAMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CG61143091 WA Yes

Addresses

Primary practice location

500 E Fremont St Apt E211
Monroe, WA 98272-2386

Mailing address

500 E Fremont St Apt E211
Monroe, WA 98272-2386

Other names

  • Melysa Sur Gleed Former name

Other providers in Monroe, WA

All providers in Monroe, WA · Mental Health Counselor in Washington

Sources for this page

Verify at the official NPI Registry.