Organization
MELBOURNE COUNSELING LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUELINE ANN LANE MSW (OWNER/PSYCHOTHERAPIST)
(720) 251-5628
Entity
Organization
Contact information
Practice address
7853 E. ARAPAHOE CT,, SUITE 3000, CENTENNIAL, CO 80112-1377
(720) 251-5628
Mailing address
7853 E. ARAPAHOE CT,, SUITE 3000, CENTENNIAL, CO 80112-1377
(720) 251-5628
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CSW09923164
CSW09923164
CO
Enumeration date
08/19/2016
Last updated
09/21/2023
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