Melton, Cheyenne Rae

Melton, Cheyenne Rae is an individual health care provider with primary practice located at 613 Superior Ln , Yakima WA 98902-1623. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Technologists, Technicians & Other Technical Service Providers / Assistant Record Technician. Technologists, Technicians & Other Technical Service Providers / Assistant Record Technician is her primary health care specialty. Melton, Cheyenne Rae can be contacted via phone (509) 575-4810.

Contact Information

Primary practice address
613 Superior Ln Yakima WA 98902-1623
Phone: (509) 575-4810
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Technologists, Technicians & Other Technical Service Providers / Assistant Record Technician 2470A2800X

Profile Details

NPI number 1285201491
LBN Legal business name Melton, Cheyenne Rae
Credentials CM61106957
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2021
Last updated Jun 7th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285201491 NPPES
Washington MEDICAID 91-0755984

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