Provider Demographics
NPI:1538365366
Name:PERRINO, MELISSA (LCMHC)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:PERRINO
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 OPERA HOUSE SQ
Mailing Address - Street 2:BOX 33 - SUITE 208
Mailing Address - City:CLAREMONT
Mailing Address - State:NH
Mailing Address - Zip Code:03743-5408
Mailing Address - Country:US
Mailing Address - Phone:802-236-7552
Mailing Address - Fax:
Practice Address - Street 1:24 OPERA HOUSE SQ
Practice Address - Street 2:BOX 33 - SUITE 208
Practice Address - City:CLAREMONT
Practice Address - State:NH
Practice Address - Zip Code:03743-5408
Practice Address - Country:US
Practice Address - Phone:802-236-7552
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-27
Last Update Date:2013-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH858101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health