Most Relevant Information
Provider Data
NPI Number: | 1003495094 |
Provider Name: | MELISSA J QUIROZ LMHC |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: | 39003492A |
Most Important Dates
Enumeration Date: | 04/06/2021 |
Last Updated: | 02/12/2024 |
Provider Practice Location
2401 VALLEY DR
VALPARAISO
IN
463832520
Practice Location Phone/Fax
Phone: | 2194135100 |
Fax: | 2604215003 |
Provider Mailing Location
2401 VALLEY DR
VALPARAISO
IN
463832520
Provider Mailing Phone/Fax
Phone: | 2194135100 |
Fax: | 2604215003 |