Most Relevant Information
Provider Data
| NPI Number: | 1003395518 |
| Provider Name: | MELISSA PETROSSIAN MA |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/07/2018 |
| Last Updated: | 06/17/2024 |
Provider Practice Location
14901 CENTRAL AVE
CHINO
CA
917109500
Practice Location Phone/Fax
| Phone: | 9095971821 |
| Fax: |
Provider Mailing Location
433 PIONEER DR APT 30
GLENDALE
CA
912031721
Provider Mailing Phone/Fax
| Phone: | 8183953436 |
| Fax: |