| Doctor Name: | MISS MELISSA DESIRAE FUTREAL |
| NPI Number: | 1013937101 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 0904005824 |
| Business Practice Address: | 700 24th St Bldg 8130 Fort Lee, VA - 238011716 |
| Business Phone Number: | 8047349287 |
| Business Fax Number: | 7577349188 |
| Mailing Address: | 1908 Andrews Blvd, HAMPTON |
| State: | VA |
| Postal Code: | 236631104 |
| Phone Number: | 7575932360 |
| Fax Number: | |
| NPI Enumeration Date: | 07/20/2006 |
| NPI Last Update Date: | 05/11/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 0904005824 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |