Provider Demographics
NPI:1518922327
Name:SMITHSON, MELANIE (MA, ADTR, LPC, CHT)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:
Last Name:SMITHSON
Suffix:
Gender:F
Credentials:MA, ADTR, LPC, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9250 E COSTILLA AVE
Mailing Address - Street 2:STE 630
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80112-3643
Mailing Address - Country:US
Mailing Address - Phone:303-271-7659
Mailing Address - Fax:303-986-3608
Practice Address - Street 1:9250 E COSTILLA AVE
Practice Address - Street 2:STE 630
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80112-3643
Practice Address - Country:US
Practice Address - Phone:303-271-7659
Practice Address - Fax:303-986-3608
Is Sole Proprietor?:No
Enumeration Date:2006-04-18
Last Update Date:2014-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2750101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional