Most Relevant Information
Provider Data
| NPI Number: | 1003648015 |
| Provider Name: | MELISSA DRUM CPSW |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: | 1534 |
Most Important Dates
| Enumeration Date: | 08/19/2024 |
| Last Updated: | 08/19/2024 |
Provider Practice Location
2015 WYOMING BLVD NE STE J
ALBUQUERQUE
NM
871122646
Practice Location Phone/Fax
| Phone: | 5053897129 |
| Fax: |
Provider Mailing Location
2015 WYOMING BLVD NE STE J
ALBUQUERQUE
NM
871122646
Provider Mailing Phone/Fax
| Phone: | 5053897129 |
| Fax: |