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NPI Code Detail

MEDICARE: MELISSA JEFFRYES LPC

MEDICARE: MELISSA JEFFRYES LPC
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
1101YM0800XMental Health Counselor3910CO

General Provider Information

NPI Number : 1538384565
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA JEFFRYES LPC
Provider Business Mailing Address
First Line : 502 PARKWOOD DR
Second Line :
City : WINDSOR
State : CO
Zip : 80550-5915
Country : US
Telephone Number : 970-686-2377
Fax Number :
Provider Business Practice Location Address
First Line : 1644 S COLLEGE AVE
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-1007
Country : US
Telephone Number : 970-221-4040
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2007
Last Update Date : 07/08/2007

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Directions to “ MELISSA JEFFRYES LPC” Practice Location

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