MR. CHARLES MELICK III, LCSW - 37691

Counselor

Active Individual
NPI: 1215344726

Practice Address

2275 W BROADWAY ST
STE. G
Idaho Falls, ID 83402

Phone: (208) 524-7400

Specialties

Specialty Code Primary License
Counselor 101Y00000X Yes LCSW-37691 (ID)

Frequently Asked Questions

NPI 1215344726 is the National Provider Identifier for MR. CHARLES MELICK III, LCSW - 37691, a Counselor provider located in Idaho Falls, ID. This NPI was enumerated on July 16, 2014.
MR. CHARLES MELICK III, LCSW - 37691 practices at 2275 W BROADWAY ST, STE. G, Idaho Falls, ID 83402.

Quick Facts

NPI
1215344726
Type
Individual
Enumerated
Jul 16, 2014
Last Updated
Apr 3, 2019

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