Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alisa Renae Melot, SUDRC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1225829203

Alisa Renae Melot, SUDRC is an Addiction (Substance Use Disorder) Counselor in Stockton, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025
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Practice location Address checks out

1111 N El Dorado St
Stockton, CA 95202-1305
Phone: (209) 451-5272
Fax: (209) 938-0281
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 21438 (CA)

Record details

NPI number1225829203
Entity typeIndividual (Type 1)
GenderFemale
Credentials SUDRC
Sole proprietorYes
NPI enumeratedMay 16, 2025
Last updated in NPPESMay 16, 2025
Certification dateMay 16, 2025

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