Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Charles Alvin Melick III, LCSW-37691

Individual provider Counselor · NPI 1215344726

Mr. Charles Alvin Melick III, LCSW-37691 is a Counselor in Idaho Falls, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2014
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Practice location Address checks out

2275 W Broadway St Ste G
Idaho Falls, ID 83402-2902
Phone: (208) 524-7400
Fax: (208) 524-8004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence LCSW-37691 (ID)

Record details

NPI number1215344726
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW-37691
Sole proprietorYes
NPI enumeratedJuly 16, 2014
Last updated in NPPESApril 3, 2019

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