Provider Demographics
NPI:1326614058
Name:SALMON, MELISSA DAWN (LPC)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:DAWN
Last Name:SALMON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5959 GATEWAY BLVD W STE 450
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79925-3396
Mailing Address - Country:US
Mailing Address - Phone:915-519-2185
Mailing Address - Fax:
Practice Address - Street 1:5959 GATEWAY BLVD W STE 450
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79925-3396
Practice Address - Country:US
Practice Address - Phone:915-519-2185
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-02
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty