| Melinda Iketau | |
|
230 Franklin St Watertown NY 13601-3996 | |
| (315) 922-3100 | |
| Not Available |
| Full Name | Melinda Iketau |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 230 Franklin St, Watertown, New York |
| Authorized Official Name and Position | Melinda Iketau (LMHC, PLAY THERAPIST) |
| Authorized Official Contact | 3159223100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Melinda Iketau 230 Franklin St Watertown NY 13601-3996 Ph: (315) 922-3100 | Melinda Iketau 230 Franklin St Watertown NY 13601-3996 Ph: (315) 922-3100 |
| NPI Number | 1376324640 |
|---|---|
| Provider Enumeration Date | 10/11/2023 |
| Last Update Date | 10/11/2023 |
| Certification Date | 10/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376324640 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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