Individual
MELISSA PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, NCC
Contact information
Practice address
6180 LEHMAN DR STE 100, COLORADO SPRINGS, CO 80918-3415
(719) 452-4803
Mailing address
6180 LEHMAN DR STE 100, COLORADO SPRINGS, CO 80918-3415
(719) 452-4803
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0019179
CO
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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