MEDICARE: MELANIE KRISTIN JARESS

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	171M00000X	Case Manager/Care Coordinator
2	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1639434350
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELANIE KRISTIN JARESS

Provider Business Mailing Address
First Line	:	6191 KILIMANJARO DR
Second Line	:
City	:	EVERGREEN
State	:	CO
Zip	:	80439-5302
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6191 KILIMANJARO DR
Second Line	:
City	:	EVERGREEN
State	:	CO
Zip	:	80439-5302
Country	:	US
Telephone Number	:	720-635-2292
Fax Number	:

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

Provider Enumeration Date	:	07/09/2012
Last Update Date	:	04/19/2026

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Directions to “ MELANIE KRISTIN JARESS ” Practice Location

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