Provider Demographics
NPI:1477786770
Name:MEAGHER, MELISSA MAE (LMFT)
Entity Type:Individual
Prefix:DR
First Name:MELISSA
Middle Name:MAE
Last Name:MEAGHER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1282 STABLER LN # 630-383
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95993-2625
Mailing Address - Country:US
Mailing Address - Phone:916-544-8993
Mailing Address - Fax:
Practice Address - Street 1:1282 STABLER LN # 630-383
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95993-2625
Practice Address - Country:US
Practice Address - Phone:916-544-8993
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-02
Last Update Date:2018-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC#53754106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist