MEDICARE: MELISSA PERRINO LCMHC

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
1	101YM0800X	Mental Health Counselor	858	NH

General Provider Information

NPI Number	:	1538365366
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA PERRINO LCMHC

Provider Business Mailing Address
First Line	:	24 OPERA HOUSE SQ
Second Line	:	BOX 33 - SUITE 208
City	:	CLAREMONT
State	:	NH
Zip	:	03743-5408
Country	:	US
Telephone Number	:	802-236-7552
Fax Number	:

Provider Business Practice Location Address
First Line	:	24 OPERA HOUSE SQ
Second Line	:	BOX 33 - SUITE 208
City	:	CLAREMONT
State	:	NH
Zip	:	03743-5408
Country	:	US
Telephone Number	:	802-236-7552
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2007
Last Update Date	:	12/06/2013

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