Provider Demographics
NPI:1790825776
Name:MELOCHE, ROBIN L (MHSA COORDINATOR)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:L
Last Name:MELOCHE
Suffix:
Gender:F
Credentials:MHSA COORDINATOR
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:L
Other - Last Name:BYRNES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1120 S DORA ST
Mailing Address - Street 2:
Mailing Address - City:UKIAH
Mailing Address - State:CA
Mailing Address - Zip Code:95482-6340
Mailing Address - Country:US
Mailing Address - Phone:707-472-2332
Mailing Address - Fax:
Practice Address - Street 1:1120 S DORA ST
Practice Address - Street 2:
Practice Address - City:UKIAH
Practice Address - State:CA
Practice Address - Zip Code:95482-6340
Practice Address - Country:US
Practice Address - Phone:707-472-2332
Practice Address - Fax:707-472-2307
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2014-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor