Individual
MELISSA MARIE GONZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
375 E HORSETOOTH RD STE 101, FORT COLLINS, CO 80525-3155
(970) 222-6154
Mailing address
807 BENTHAVEN ST, FORT COLLINS, CO 80526-3141
(970) 222-6154
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPCC.0015417
CO
101YS0200X
School Counselor
137057
CO
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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