Provider Demographics
NPI:1841553203
Name:HUNTER, MELANIE PALACIOS
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:PALACIOS
Last Name:HUNTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MELANIE
Other - Middle Name:ELAINE
Other - Last Name:PALACIOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7862 WINDING WAY UNIT 2165
Mailing Address - Street 2:
Mailing Address - City:FAIR OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:95628-8485
Mailing Address - Country:US
Mailing Address - Phone:559-978-5810
Mailing Address - Fax:
Practice Address - Street 1:4705 DELLA ROBIA CT
Practice Address - Street 2:
Practice Address - City:FAIR OAKS
Practice Address - State:CA
Practice Address - Zip Code:95628-6141
Practice Address - Country:US
Practice Address - Phone:916-534-8405
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-20
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA87413106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist