Doctor Name: | MS. MELINDA COLLINS BURGIN |
NPI Number: | 1144234741 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 0701000886 |
Business Practice Address: | 14107 Newbrook Dr Suite 200 Chantilly, VA - 20151 |
Business Phone Number: | 7039611080 |
Business Fax Number: | 7039619365 |
Mailing Address: | 14107 Newbrook Drive, Suite 200 CHANTILLY |
State: | VA |
Postal Code: | 20151 |
Phone Number: | 7039611080 |
Fax Number: | 7039619365 |
NPI Enumeration Date: | 07/28/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 0701000886 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |