BEGIN:VCARD VERSION:3.0 FN:Mel Karmen\, PhD\, MFT N:Karmen;Mel;;;PhD\, MFT TITLE:Marriage & Family Therapist TEL;TYPE=WORK,VOICE:+16192969442 URL:https://www.gale.care/providers/ca/san-diego/mel-karmen-phd-mft-1821264 458 NOTE:NPI 1821264458. From the NPPES registry (CMS)\, file of 2026-06-08. No t affiliated with Gale. X-NPI:1821264458 END:VCARD