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NPI Code Detail

MEDICARE: MELISSA COLON

MEDICARE: MELISSA COLON
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
1101Y00000XCounselor
2101YM0800XMental Health CounselorIMF77340CA
3106H00000XMarriage & Family TherapistIMF77340CA
4106H00000XMarriage & Family Therapist77340CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1871663351
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA COLON
Provider Business Mailing Address
First Line : 3050 BEACON BLVD STE 103
Second Line :
City : WEST SACRAMENTO
State : CA
Zip : 95691-3467
Country : US
Telephone Number : 916-462-3100
Fax Number :
Provider Business Practice Location Address
First Line : 3050 BEACON BLVD STE 103
Second Line :
City : WEST SACRAMENTO
State : CA
Zip : 95691-3467
Country : US
Telephone Number : 209-465-1080
Fax Number : 209-340-7920
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/09/2006
Last Update Date : 01/21/2019

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Directions to “ MELISSA COLON ” Practice Location

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