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NPI Code Detail

MEDICARE: MELISSA KALLWEIT LCPC-C

MEDICARE:   MELISSA  KALLWEIT  LCPC-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorLPCC.0018193CO

General Provider Information

NPI Number : 1053713297
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA KALLWEIT LCPC-C
Provider Business Mailing Address
First Line : 8502 CENTENNIAL TRL
Second Line :
City : ELIZABETH
State : CO
Zip : 80107-9300
Country : US
Telephone Number : 720-556-7628
Fax Number :
Provider Business Practice Location Address
First Line : 2227 FLORENCE AVE
Second Line :
City : BUTTE
State : MT
Zip : 59701-6032
Country : US
Telephone Number : 406-299-3637
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/18/2014
Last Update Date : 08/24/2021

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Directions to “ MELISSA KALLWEIT LCPC-C” Practice Location

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