Individual
MELISSA R PETRONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
5195 FONTAINE BLVD, FOUNTAIN, CO 80817-1074
(719) 271-9022
Mailing address
7752 CANDLELIGHT LN, FOUNTAIN, CO 80817-4271
(719) 271-9022
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5355
CO
Other
Enumeration date
04/13/2010
Last updated
04/13/2010
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