Trojan, Malissa

Trojan, Malissa is an sole proprietor health care provider with primary practice located at 27905 Meadow Dr Unit 11 , Evergreen CO 80439-2110. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Trojan, Malissa can be contacted via phone (303) 335-9118.

Contact Information

Primary practice address
27905 Meadow Dr Unit 11 Evergreen CO 80439-2110
Fax: (866) 458-0456
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X L8541 Oregon
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW.09925179 Colorado
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6801100769 Michigan
Behavioral Health & Social Service Providers / Social Worker 104100000X LSW.0009020489 Colorado

Profile Details

NPI number 1215356381
LBN Legal business name Trojan, Malissa
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 15th, 2014
Last updated Jan 6th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215356381 NPPES
Michigan MEDICAID 8344898

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