| Melissa D Salmon | |
|
5959 Gateway Blvd W Ste 450 El Paso TX 79925-3396 | |
| (915) 200-4233 | |
| Not Available |
| Full Name | Melissa D Salmon |
|---|---|
| Speciality | Counselor |
| Location | 5959 Gateway Blvd W Ste 450, El Paso, Texas |
| Authorized Official Name and Position | Melissa Salmon (OWNER) |
| Authorized Official Contact | 9155192185 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Melissa D Salmon 5959 Gateway Blvd W Ste 450 El Paso TX 79925-3396 Ph: (915) 519-2185 | Melissa D Salmon 5959 Gateway Blvd W Ste 450 El Paso TX 79925-3396 Ph: (915) 200-4233 |
| NPI Number | 1992575195 |
|---|---|
| Provider Enumeration Date | 01/08/2024 |
| Last Update Date | 02/26/2024 |
| Certification Date | 02/26/2024 |
| Medicare PECOS PAC ID | 0840637815 |
|---|---|
| Medicare Enrollment ID | O20240326002551 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992575195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Melissa Dawn Salmon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326614058 PECOS PAC ID: 1759728728 Enrollment ID: I20240404002135 |
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