# MELISSA L DEL ROSARIO LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Melissa L Del Rosario
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528539657
- **Authorized official:** MELISSA DEL ROSARIO LPC (CHILD AND FAMILY THERAPIST)
- **Authorized official phone:** (815) 557-4120

## Contact information

- **Practice address:** 14135 N CEDARBURG RD, MEQUON, WI 53097-1416
- **Practice address phone:** (262) 377-2006
- **Mailing address:** 14135 N CEDARBURG RD, MEQUON, WI 53097-1416
- **Mailing address phone:** (262) 377-2006

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 12/16/2018
- **Last updated:** 12/16/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 12134724 | CAQH | — |