Provider Demographics
NPI:1891083184
Name:BURCHAM, MELANI L (LPC)
Entity Type:Individual
Prefix:
First Name:MELANI
Middle Name:L
Last Name:BURCHAM
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:MELANI
Other - Middle Name:B
Other - Last Name:GREGORY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:6066 LAMAR ST APT 304
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80003-5643
Mailing Address - Country:US
Mailing Address - Phone:503-801-2364
Mailing Address - Fax:
Practice Address - Street 1:6066 LAMAR ST APT 304
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80003-5643
Practice Address - Country:US
Practice Address - Phone:503-801-2364
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-20
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0018426101YP2500X
NM0129441101YP2500X
ORC4835101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional