Provider Demographics
NPI:1932444056
Name:CAUBLE, MELANIE J (MA, LMFT)
Entity Type:Individual
Prefix:MS
First Name:MELANIE
Middle Name:J
Last Name:CAUBLE
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10561 30TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-7947
Mailing Address - Country:US
Mailing Address - Phone:408-365-4325
Mailing Address - Fax:
Practice Address - Street 1:1400 COLEMAN AVE STE F23
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95050-4359
Practice Address - Country:US
Practice Address - Phone:408-418-6638
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-29
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC52489106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist