Jackie Melton-roeder LPC

NPI 1992985329 - Counselor - 101YP2500X

NPI Details
NPI 1992985329
Gender Female
Enumeration Date 11/14/2007
Last Updated 06/23/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
309 E SAINT VRAIN ST
COLORADO SPRINGS CO, 80903-1123, US
Phone (719) 473-9200
Fax
Business Location
309 E SAINT VRAIN ST
COLORADO SPRINGS CO, 80903-1123, US
Phone (719) 473-9200
Fax
Toxanomy
Taxonomy Code 101YP2500X
License State Colorado
License Number 4671
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According to our database, Jackie Melton-roeder LPC NPI is 1992985329, taxonomy code is 101YP2500X and license number is 4671, license state is located at Colorado. Jackie Melton-roeder LPC physically located at 309 E Saint Vrain St, Colorado Springs CO, 80903-1123. NPI Number Jackie Melton-roeder LPC has the Individual type.

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1992985329 NPI number is provided on an as is basis without warranty of any kind. 1992985329 is maintained by the National Plan & Provider Enumeration System. The contents of Jackie Melton-roeder LPC are for informational purposes only.