Melina Nelson Shade

NPI #1942418462 in Dillingham, Alaska

Provider Information

NPI Number: 1942418462
Entity Type: Individual
Name: Melina Nelson Shade
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: May 18, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 6000 KANAKANAK ROAD
City: Dillingham
State: Alaska
ZIP Code: 99576-0130
Phone: (907) 842-5201

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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