Provider Demographics
NPI:1811296221
Name:MCFARLAND, MELINDA ASHLEY (MA, MFTI)
Entity type:Individual
Prefix:MRS
First Name:MELINDA
Middle Name:ASHLEY
Last Name:MCFARLAND
Suffix:
Gender:F
Credentials:MA, MFTI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23422 BADGER CREEK LN
Mailing Address - Street 2:
Mailing Address - City:MENIFEE
Mailing Address - State:CA
Mailing Address - Zip Code:92587-7222
Mailing Address - Country:US
Mailing Address - Phone:951-206-7188
Mailing Address - Fax:
Practice Address - Street 1:572 N ARROWHEAD AVE
Practice Address - Street 2:STE. 200
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92401-1251
Practice Address - Country:US
Practice Address - Phone:916-388-6321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-24
Last Update Date:2015-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF60075106H00000X
CAIMF86755106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAIMF60075OtherBOARD OF BEHAVIORAL SCIENCES, MARRIAGE AND FAMILY THERAPY INTERN
CAIMF86755OtherBOARD OF BEHAVIORAL SCIENCES