Individual
MELODIE WANTUCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA, MCJ, CFI
Contact information
Practice address
391 PINON CIR, BLACK HAWK, CO 80422-8892
(720) 742-0417
Mailing address
PO BOX 620515, LITTLETON, CO 80162-0515
(720) 742-0417
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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