Melanie Ror-Ree Gensaw, LCSW
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Fortuna, CA
NPI 1700462900 · NPPES record last updated Mar 19, 2021
Key facts
- NPI
- 1700462900
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 92891 (CA)
- Practice address
- 934 S Fortuna Blvd Ste B
Fortuna, CA 95540-3009 - Phone
- (707) 392-3780
- NPI assigned
- Mar 19, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seventh Generation House, Inc | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 92891 | CA | Yes |
Addresses
Primary practice location
934 S Fortuna Blvd Ste B
Fortuna, CA 95540-3009
Mailing address
934 S Fortuna Blvd Ste B
Fortuna, CA 95540-3009
Phone (707) 392-3780
Other providers in Fortuna, CA
- William M French
- Janna M Froeming
- Judy Gallagher
- Gardenside Eldercare, LLC
- Gina Rose Gastelum
- Joyme Balan Gesite
- Chris Ghadimi
- Lexis D Gillette
- Kenneth Glenn
- D. Peter Goldberg
All providers in Fortuna, 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 Mar 19, 2021. 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.