Provider Demographics
NPI:1497814487
Name:MORASCH, MELISSA (MED)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:MORASCH
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1409 N PITTSBURG ST STE C
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-8213
Mailing Address - Country:US
Mailing Address - Phone:509-430-3700
Mailing Address - Fax:
Practice Address - Street 1:1409 N PITTSBURG ST STE C
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-8213
Practice Address - Country:US
Practice Address - Phone:509-430-3700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2018-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARC00044738101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health