Provider Information for 1770206443
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Mr. RYAN MELONE LMHC, LPCC
Sex: Male
NPI: 1770206443
Last Updated: 2024-11-13
Certification Date: 2024-11-13
Certification Date: 2024-11-13
Details
| Name | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1770206443 | ||||||||||||||
| Enumeration Date | 2022-09-19 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | NO | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 736 ARBORETUM WAY BURLINGTON, MA 01803-3833 United States Phone: 224-305-9574 | Fax: | ||||||||||||||
| Primary Practice Address | 736 ARBORETUM WAY BURLINGTON, MA 01803-3833 United States Phone: 224-305-9574 | Fax: | ||||||||||||||
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