SearchArizona101YP2500X

Jennifer Mellum, LMHC

NPI 1396212544 · on the registry since 2018 · sole proprietor

Practice

Address
702 E Bell Rd Ste 107
Phoenix, AZ 85022
Phone
(602) 482-7311
Organisation at this address
Im Dental Pllc
Kevin J Ortale Dds
Wee Care Dental P.C.
An Elegant Smile, P.C.
Canyon Pain Center Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
24

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
101Y00000X
101YM0800X
Licence states on file
WA, AZ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-04-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona