Melissa Haskins, CADC II
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Alta, CA
NPI 1124240833 · NPPES record last updated Apr 13, 2011
Key facts
- NPI
- 1124240833
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- A4002207 (CA)
- Practice address
- 34248 E. Towle Rd.
Alta, CA 95701-1150 - Phone
- (530) 389-9208
- Fax
- (530) 389-9209
- NPI assigned
- May 3, 2007
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| A4002207 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | A4002207 | CA | Yes |
Addresses
Primary practice location
34248 E. Towle Rd.
Alta, CA 95701-1150
Mailing address
15345 Carrie Dr
Grass Valley, CA 95949-6407
Phone (530) 272-1298
Other providers in Alta, CA
- Cynthia Domingo
- Cecelia Forsythe
- Jenifer Lynn Jackson
- Hannah Marshall
- April McNeill
- Sarah Nichols
- Rethink Behavior Solutions
All providers in Alta, CA · Addiction (Substance Use Disorder) Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 13, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.