Provider Demographics
NPI:1780281022
Name:MELVIN, LINDA JUNE (LMFT)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:JUNE
Last Name:MELVIN
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:PO BOX 989
Mailing Address - Street 2:
Mailing Address - City:BIG TIMBER
Mailing Address - State:MT
Mailing Address - Zip Code:59011-0989
Mailing Address - Country:US
Mailing Address - Phone:406-600-2454
Mailing Address - Fax:
Practice Address - Street 1:216 E 2ND AVE
Practice Address - Street 2:
Practice Address - City:BIG TIMBER
Practice Address - State:MT
Practice Address - Zip Code:59011-7855
Practice Address - Country:US
Practice Address - Phone:406-600-2454
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-08
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX202714106H00000X
MT37565106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist