Provider Demographics
NPI:1902229685
Name:TIHIN, MELISSA (LMFT)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:TIHIN
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 1:770 E SHAW AVE
Mailing Address - Street 2:#103
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93710-7717
Mailing Address - Country:US
Mailing Address - Phone:559-500-9355
Mailing Address - Fax:559-253-2020
Practice Address - Street 1:770 E SHAW AVE
Practice Address - Street 2:#103
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-7717
Practice Address - Country:US
Practice Address - Phone:559-500-9355
Practice Address - Fax:559-532-0202
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-30
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA86602106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist