Provider Information for 1720485881
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MELISSA NELSON LPC
Sex: Female
NPI: 1720485881
Last Updated: 2014-12-04
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1720485881 | ||||||||
| Enumeration Date | 2014-12-04 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 3756 DESERT WILLOW AVE BROOMFIELD, CO 80020-7903 United States Phone: 720-334-8258 | Fax:720-685-5404 | ||||||||
| Primary Practice Address | 13653 EAST 104TH AVE SUITE 150 COMMERCE CITY, CO 80022 United States Phone: 720-334-8258 | Fax:720-685-5404 | ||||||||
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