Melah Jayanti, BA
Social Worker, Clinical in Tigard, OR. Individual provider (NPI-1).
NPI number1164093738
StatusActive
Last updated in NPPESMar 20, 2024
Details
- NPI
- 1164093738
- Entity type
- Individual (NPI-1)
- Name
- Melah Jayanti
- Credential
- BA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 6, 2021
- Certification date
- Mar 20, 2024
- Last updated
- Mar 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | A14034 | OR | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
11740 Sw 68th Pkwy Ste 200Tigard, OR 97223-9058
Phone 425-640-7009
Mailing address
2355 State St Ste 101Salem, OR 97301-4541
Phone 458-210-6739 · Fax 541-246-8826
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