Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | MFTC.0014075 | CO |
NPI | 1063001964 |
---|---|
Provider Name | Melissa Renee Pilarski |
First Address | Loveland, CO 80538-8847 |
Second Address | Wheat Ridge, CO 80033-4565 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/01/2021 |
Last Update Date | 14/01/2021 |