Provider Demographics
NPI:1447727870
Name:KRON, MELISSA JANE (LMFT)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:JANE
Last Name:KRON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:JANE
Other - Last Name:SLANICKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 1834
Mailing Address - Street 2:
Mailing Address - City:WILLMAR
Mailing Address - State:MN
Mailing Address - Zip Code:56201-1834
Mailing Address - Country:US
Mailing Address - Phone:320-979-5760
Mailing Address - Fax:320-235-1233
Practice Address - Street 1:1300 WILLMAR AVE SE
Practice Address - Street 2:
Practice Address - City:WILLMAR
Practice Address - State:MN
Practice Address - Zip Code:56201-4737
Practice Address - Country:US
Practice Address - Phone:320-235-4900
Practice Address - Fax:320-235-1233
Is Sole Proprietor?:No
Enumeration Date:2018-10-24
Last Update Date:2018-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3162106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist