Provider Demographics
NPI:1194160218
Name:MICHAUD, MELISSA MARIE (LPC)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:MARIE
Last Name:MICHAUD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:MARIE
Other - Last Name:BENEDICT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10024 MARTIN LUTHER KING BLVD
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80238-3049
Mailing Address - Country:US
Mailing Address - Phone:970-823-0007
Mailing Address - Fax:
Practice Address - Street 1:10024 MARTIN LUTHER KING BLVD
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80238-3049
Practice Address - Country:US
Practice Address - Phone:970-823-0007
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-02
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO013337101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor